Retinal detachment is a major ophthalmologic emergency. The rhegmatogenous form is the most common and its management is exclusively surgical as soon as possible. This urgency becomes major and absolute when it occurs in a particular monocular vision.

The researchers analyzed the clinical forms of rhegmatogenous retinal detachment (RRD), the results and the complications of their management in monophthalmic patients. All patients who received a consultation for rhegmatogenous retinal detachment were included to this retrospective and analytical study. All patients were seen by at least two posterior segment specialists and all were operated on by the same surgeon. Patients complained of decreased visual acuity in 96.49% of cases. Retinal holes were found in 31.58% of our patients and giant tears in 17.54%. The mean retinal detachment extension was 2.52 quadrants and the macula was raised in 32 cases. Detachment surgery was performed in 42 patients with 100% anatomical recovery.

So, retinal detachment in one-eyed patient is a major ophthalmic emergency. Its management must not suffer from any delay, because the risk of permanent blindness is quite large. Examination an treatment of myopia-monocular vision lesions should be systematic to avoid the occurrence of RRD, which may affect vision prognosis.

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