Surgical Innovations in Vitreo-Retinal Surgery

Vitreo-retinal surgery has enabled the treatment of multiple posterior segment pathologies, which till few decades back were considered untreatable. With continuing innovation, modern retinal surgery is becoming more efficient and safer, while simultaneously making forays into newer paradigms. In th...

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Main Authors: Sumant Vinayak Sharma, Raja Narayanan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-10-01
Series:Delhi Journal of Ophthalmology
Subjects:
Online Access:https://journals.lww.com/10.4103/dljo.dljo_71_23
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author Sumant Vinayak Sharma
Raja Narayanan
author_facet Sumant Vinayak Sharma
Raja Narayanan
author_sort Sumant Vinayak Sharma
collection DOAJ
description Vitreo-retinal surgery has enabled the treatment of multiple posterior segment pathologies, which till few decades back were considered untreatable. With continuing innovation, modern retinal surgery is becoming more efficient and safer, while simultaneously making forays into newer paradigms. In this review article, we look at recent innovations that are changing the practice patterns among surgeons. Surgical innovations in instrumentation, visualisation and automation are discussed. The introduction of ultrasound energy in vitrectomy, termed as hypersonic vitrectomy, promises freedom from complications of current guillotine-based cutters. In terms of new avenues of visualisation, heads up 3-Dimensional (HUD) viewing systems, intraoperative OCT(i-OCT) and endoscopic vitrectomy permit better ergonomics, real time cross-sectional imaging and visualisation in opaque media respectively. Automation of surgical steps via robotic surgery heralds a new era in surgical safety.
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publishDate 2022-10-01
publisher Wolters Kluwer Medknow Publications
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series Delhi Journal of Ophthalmology
spelling doaj-art-9fc6046ed1d648e48a92e2cbf31634bd2025-08-20T02:11:18ZengWolters Kluwer Medknow PublicationsDelhi Journal of Ophthalmology0972-02002454-27842022-10-01326889210.4103/dljo.dljo_71_23Surgical Innovations in Vitreo-Retinal SurgerySumant Vinayak SharmaRaja NarayananVitreo-retinal surgery has enabled the treatment of multiple posterior segment pathologies, which till few decades back were considered untreatable. With continuing innovation, modern retinal surgery is becoming more efficient and safer, while simultaneously making forays into newer paradigms. In this review article, we look at recent innovations that are changing the practice patterns among surgeons. Surgical innovations in instrumentation, visualisation and automation are discussed. The introduction of ultrasound energy in vitrectomy, termed as hypersonic vitrectomy, promises freedom from complications of current guillotine-based cutters. In terms of new avenues of visualisation, heads up 3-Dimensional (HUD) viewing systems, intraoperative OCT(i-OCT) and endoscopic vitrectomy permit better ergonomics, real time cross-sectional imaging and visualisation in opaque media respectively. Automation of surgical steps via robotic surgery heralds a new era in surgical safety.https://journals.lww.com/10.4103/dljo.dljo_71_23surgical innovationhypersonic vitrectomyi-octendoscopic vitrectomyrobotics3-d heads up display
spellingShingle Sumant Vinayak Sharma
Raja Narayanan
Surgical Innovations in Vitreo-Retinal Surgery
Delhi Journal of Ophthalmology
surgical innovation
hypersonic vitrectomy
i-oct
endoscopic vitrectomy
robotics
3-d heads up display
title Surgical Innovations in Vitreo-Retinal Surgery
title_full Surgical Innovations in Vitreo-Retinal Surgery
title_fullStr Surgical Innovations in Vitreo-Retinal Surgery
title_full_unstemmed Surgical Innovations in Vitreo-Retinal Surgery
title_short Surgical Innovations in Vitreo-Retinal Surgery
title_sort surgical innovations in vitreo retinal surgery
topic surgical innovation
hypersonic vitrectomy
i-oct
endoscopic vitrectomy
robotics
3-d heads up display
url https://journals.lww.com/10.4103/dljo.dljo_71_23
work_keys_str_mv AT sumantvinayaksharma surgicalinnovationsinvitreoretinalsurgery
AT rajanarayanan surgicalinnovationsinvitreoretinalsurgery