In this study reviewing 133 million administrative claims records over a 9-year study period women had 34% lower odds of receiving surgical repair for a rhegmatogenous retinal detachment compared to men after controlling for age, year of diagnosis, ocular comorbidities, and systemic comorbidities. The number of women that would be repair annually if the odds were equivalent was calculated using prior epidemiologic data from the United States estimating the incidence of RRD as 17.9 per 100,000 person-years and the U.S. Census Bureau report from the last included study year (2015) estimating 350 million insured working adults in the United States where this dataset would be applicable. Using these numbers, 781 more women would be repaired annually if the odds of repair were equivalent between the sexes. Over the nine-year study period 7,029 more insured women would receive repair if the odds were equal.