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Objective: To describe clinical characteristics and visual outcomes of eyes developing neurotrophic keratopathy (NK) following rhegmatogenous retinal detachment (RRD) repair., Methods: All eyes with NK at Wills Eye Hospital following RRD repair from June 1, 2011, to December 1, 2020 were included. Patients with prior ocular procedures (other than cataract surgery), herpetic keratitis, and diabetes mellitus were excluded., Results: During the study period, 241 patients were diagnosed with NK, and 8179 eyes underwent RRD surgery, giving a 9-year prevalence rate of 0.1% (95% CI, 0.1%-0.2%). Mean age was 53.4 ± 16.6 years during RRD repair and 56.5 ± 13.4 years during NK diagnosis. Mean time to NK diagnosis was 3.0 ± 5.6 years (range, 6 days to 18.8 years). Mean visual acuity before NK was 1.10 ± 0.56 logMAR (20/252 Snellen), and it was 1.01 ± 0.62 logMAR (20/205 Snellen) at final visit (p = 0.75). Six eyes (54.5%) developed NK <1 year following RRD surgery. Mean final visual acuity was 1.01 ± 0.53 logMAR (20/205 Snellen) in this group versus 1.01 ± 0.78 logMAR (20/205 Snellen) in the delayed NK group (p = 1.00)., Conclusions: NK may present acutely or up to several years following surgery, with severity of corneal defects ranging from stage 1 to stage 3 NK. Surgeons should be mindful of the potential for this rare complication following RRD repair., (Copyright © 2023 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.)

Objective: To present the outcomes of scleral buckle (SB) removal with and without concurrent prophylactic laser retinopexy., Design: Retrospective, interventional case series., Participants: Eighty-seven eyes of 87 patients who had SB removal after primary rhegmatogenous retinal detachment repair., Methods: All patients who had SB removal after primary rhegmatogenous retinal detachment repair from both Wills Eye Institute and University of Alberta from 2000 to 2011 were identified. All patients had a minimum of 6 months of follow-up., Results: Eighty-seven patients met the study criteria. Primary indications for SB removal were extrusion (76%, n = 66), diplopia (8%, n = 7), infection (6%, n = 5), a combination of extrusion and infection (6%, n = 5), and others (5%, n = 4). Only 3 of 87 eyes (3.4%) developed a recurrent retinal detachment after SB removal. Only 1 eye (2.2%) from the group that received laser retinopexy (n = 45) at the time of SB removal had a retinal redetachment, whereas 2 eyes (4.2%) in the group that did not receive laser (n = 42) had a recurrent retinal detachment (p = 0.61)., Conclusions: The overall rate of recurrent retinal detachment after SB removal was low. No significant difference in recurrent retinal detachment was found between the eyes that received prophylactic laser retinopexy compared with those that did not at the time of SB removal., (Copyright © 2014 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.)