Using a sequence-based approach can help surgeons perform a retinectomy more effectively with fewer complications, according to Steve Charles, MD.
Dr. Charles, Charles Retina Institute, Germantown, TN, outlined his pearls and shared the reattachment sequence that he follows during a retinectomy.
Dr. Charles recommends that surgeons not perform a retinectomy under balanced salt solution (BSS) or under perfluoro-N-octane (PFO). In fact, at the various retina meetings he attends, Dr. Charles said there always seems to be a complication presented that is related to sub-foveal PFO. The only way to avoid such complications is by not using it in the first place, he said.
Dr. Charles will use oil only if oil is already present and then preforms retinectomy under oil.
Typically, he performs a retinectomy under air. This helps avoid complications, such as an unnecessary or excessive retinectomy or excessive retinal movement when performed under BSS and subretinal PFO when performed under PFO, Dr. Charles said.