Retinal detachments (RD) in children encompass a diverse group of conditions. The diagnosis and management of pediatric retinal detachment is more difficult than that in adults. It is usually asymptomatic,the threat of amblyopia often hangs around. The visual acuity assessment, especially uniocularly, is difficult and more variable. The drug delivery and dosage in such cases are also a challenge. Clinical presentationsare recent onset strabismus, leukocoria, heterochromia or pain and redness in eye due to associated uveitis or secondary glaucoma and rarely hyphema in long standing detachments. Detailed evaluation is necessary to plan for surgery. Before starting surgery it is absolutely necessary to reassess the ocularpathology under anesthesia in children as officeexamination is not always satisfactory. Vitrectomy is the primary procedure. Some other specific conditions also occur. Retinopathy of Prematurity, if ROP is detected in the high-risk prethreshold or early threshold stage it responds well totreatment. Familial exudative vitreoretinopathy (FEVR), hallmark of this disease are its bilateral, often asymmetric nature andperipheral avascular retina. Treatment is retinal ablation using laser with or without cryopexy. Persistent hyperplastic primary vitreous (PHPV) or persistent fetal vasculature (PFV) is usually a unilateral condition. Surgery can be considered with the aim to provide useful vision and to prevent complications. Retinoschisis is relatively rare ocular disorder has a prevalence of 1 in 15,000 to 1 in 30,000. Itis a genetic disease having male preponderance. Most cases need observation and few need surgical intervention. In pediatric RD, only reattachment of retina or control of disease by prophylactic treatment is not sufficientto restore or preserve vision. Management of anisometropia, rapidly changing refraction, IOP monitoringand amblyopia therapy are integral to completethe treatment.