Photocoagulation as the sole treatment for early posterior retinal detachment

Three eyes of two patients with posterior retinal detachments associated with high myopia were treated with photocoagulation therapy only. Complete flattening of the retina was achieved in all eyes. Chorioretinal contact did not appear to be required in order for photocoagulation therapy to be effective. Although initially confined to rest, it was apparent that bed rest was not essential for the gradual absorption of subretinal fluid. Posterior vitreous detachments were present in all eyes. Although visual acuities were not greatly improved, subjective improvement was considered excellent in all cases.