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Int J Retina Vitreous. 2020 Oct 01;6:46. doi: 10.1186/s40942-020-00251-y. eCollection 2020.

Concept and application of relaxing radial retinectomy for retinal detachment with advanced proliferative vitreo-retinopathy.

International journal of retina and vitreous

Waldensius Girsang, Dwi C R Sari, Wahyu Srigutomo, Tjahjono D Gondhowiardjo, Muhammad B Sasongko

Affiliations

  1. Jakarta Eye Center Eye Hospitals and Clinics, Jakarta, Indonesia.
  2. Department of Ophthalmology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada - Sardjito Eye Center, Dr. Sardjito General Hospital, Jalan Farmako Sekip Utara, Yogyakarta, Indonesia.
  3. Department of Anatomy, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
  4. Faculty of Mathematics and Natural Sciences, Bandung Institute of Technology, Bandung, Indonesia.
  5. Department of Ophthalmology, Faculty of Medicine, Universitas Indonesia/Cipto Mangunkusumo National Hospital, Jakarta, Indonesia.

PMID: 33014425 PMCID: PMC7528480 DOI: 10.1186/s40942-020-00251-y

Abstract

PURPOSE: To revisit the concept of retinectomy and the theory of mechanical forces on the retina occurring in rhegmatogenous retinal detachment (RRD) and to describe the potential application of radial retinectomy in RRD with advanced proliferative vitreoretinopathy (PVR).

METHODS: A literature search was performed to identify all English language articles reporting the use of retinectomy for the management of RRD with PVR. We reviewed the theoretical background of mechanical forces occurring in RRD.

RESULTS: Detachment of the retina from the retinal pigment epithelium (RPE)/choroid is influenced by disequilibrium of several physical forces: tangential forces on the epiretinal membrane

CONCLUSION: Relaxing radial retinectomy may potentially be applied in RRD with advanced PVR but has rarely been reported to date. Future studies are needed to evaluate its outcomes and long-term complications.

© The Author(s) 2020.

Keywords: Proliferative vitreoretinopathy; Radial retinectomy; Relaxing retinectomy; Rhegmatogenous retinal detachment; Vitrectomy

Conflict of interest statement

Competing interestsNone of the authors has any financial or other conflict of interest in any of the materials or methods mentioned in this article.

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