[Myopia and rhegmatogenous retinal detachment].

There is a statistically significant correlation between rhegmatogenous retinal detachment and myopia. The prevalence of retinal detachment in myopic eyes is related to the prevalence of the disease precursors in such eyes. In most cases retinal detachments in myopic eyes share the clinical features of retinal detachments in emmetropic eyes. However, retinal detachments associated with giant tears and retinal detachment with atrophic holes in lattice, which are infrequent, show an increased prevalence in the myopic eye. In addition, retinal detachments associated with post-equatorial paravascular retinal tears, as well as retinal detachments with macular holes are specific or the myopic eye. Surgery is required in the management of retinal detachment. At present permanent retinal reattachment can be achieved in approximately 90% of eyes. The indications for prophylactic treatment remain debated. The high incidence of failures of prophylactic treatment is probably related to the limits of the current techniques.