Outcomes of primary rhegmatogenous retinal detachment in myopes of five or more diopters.

Objective: To analyze surgical outcomes of primary rhegmatogenous retinal detachment in high myopes.

Materials And Methods: Medical records of 201 patients who underwent vitreoretinal surgeries for primary retinal detachments were reviewed. Fifty-two eyes of 51 patients with at least 5.00 diopters (D) of myopia were included.

Results: The mean refractive error was -9.8+/-5.4 D (mean +/- SD). Macula was off in 29 (55.8%) eyes. Thirty-six (69.2%) and 16 (30.8%) eyes received scleral buckling (SB) and pars plana vitrectomy (PPV), respectively. Primary anatomical success rate was 86.1% and 75.0% in the SB and PPV group, respectively. The anatomical success rate after 2 operations was 94.4% and 100% in the SB and PPV group, respectively. Twenty-three (63.1%) patients from SB group and 10 (62.5%) patients from PPV group attained postoperative best-corrected visual acuity of 20/60 or better.

Conclusion: The anatomical and visual outcomes of primary rhegmatogenous retinal detachment in myopes of five or more diopters seem favorable after surgery.