Bilateral Rhegmatogenous Retinal Detachment Secondary to Non-Traumatic Spontaneous Retinal Dialyses

A healthy 17-year-old boy reported worsening vision in the right eye since childhood. On presentation, visual acuity was counting fingers in the right eye and 20/20 in the left eye; intraocular pressure was within normal limits. Fovea-involving chronic rhegmatogenous retinal detachment (RRD) with retinal dialysis and subretinal bands was identified in the right eye, while there was macular subretinal fluid (SRF) and foveasparing asymptomatic RRD with retinal dialysis in the left eye. The patient underwent scleral buckling and cryotherapy in both eyes. Twelve months after presentation, with interval decrease in SRF, vision improved to 20/400 in the right eye and was 20/20 in the left eye. Our case describes an otherwise healthy adolescent male with bilateral rhegmatogenous retinal detachment secondary to non-traumatic spontaneous retinal dialysis. Bilateral spontaneous retinal dialyses are rare but may occur in pediatric patients. Scleral buckling and cryotherapy resulted in anatomical success in both eyes.