AIM: To understand the prognostic factors of myopic rhegmatogenous retinal detachment(RRD)surgery, and provide guidance for clinical treatment.

METHODS: This retrospective study included 288 myopic RRD eyes(excluding trauma, aphakia, congenital diseases, tractional and exudative retinal detachment)from April 2007 to April 2014 in our department. The surgical anatomic reduction situation was statistically recorded, the effects of hole's size, retinal detachment duration on sight restoration and surgery success rate were analyzed

RESULTS:The statistical results showed that 245 eyes(85.1%)healed after their first operation, about 95.1% cases finally healed after their second or third operation. The degree of myopia and aging factor influenced the RRD operation: the higher degree and the older age were, the lower success rates were(P<0.05). Through surgery, postoperative visual acuity was significantly better than the preoperative ones(P<0.01). A higher degree of myopia RRD led to poor visual acuity(P<0.01). Postoperative visual acuity of 152 eyes(52.9%)were improved, of which 106 eyes' visual acuity was 0.05 or more.

CONCLUSION: Surgery is an effective means of treating myopic RRD. The older patients have lower success rates. A higher degree of myopia led lower reset rate after retinal detachment surgery and poor postoperative visual acuity. When treat myopic RRD, we should pay attention to the recovery of visual function.