Background: Advanced stages of retinal detachment may cause blindness, hence a need for early diagnosis and treatment is recommended. Aim of Study: To find out the incidence, risk factors and outcome of patients with bilateral rhegmatogenous retinal detachment reported at a tertiary referral hospital in Hyderabad, India. Material and Methods: We carried out a retrospective study by recording the data of patients from medical records of VitreoRetina Department, Sarojini Devi Eye Hospital, Hyderabad, India, operated between June 2015 to June 2016. Details of history and ophthalmological findings by slit lamp examination, indirect ophthalmoscopy, colour retina charting, B Scan were recorded and were compared with earlier similar studies. Results: The age of the patients ranged between 21 to 76 years, with a mean age of 27.5 years. Out of 250 patients, most of the patients (80%) were myopic and 20 (8%) presented with bilateral RD. Risk factor in most of the patients was myopia. We found that patients with fresh retinal detachment were managed with sclera buckling procedure. Patients with proliferative vitreoretinopathy changes were managed with pars plana vitrectomy with encircling band and silicone oil tamponade. When outcome after treatments were recorded, it was found that patients who reported without delay had good visual and anatomical outcome i.e. more than 80% of patients had good prognosis. Conclusion: We found less incidence of bilateral rhegmatogenous retinal detachment in our study when compared to the literature. Myopia, post cataract surgery were few risk factors observed in our study. hence regular follow-ups are suggested to prevent blindness in these patients.

Keywords: Horse Shoe Tear; Myopia; Proliferative Vitreoretinopathy; Pseudophakia; Rhegmatogenous Retinal Detachment.