OBJECTIVE:: In this study, we aim to identify the demographics of retinal detachment in children in the United States, and to report the treatment modalities chosen by vitreoretinal surgeons, and associated outcomes. METHODS:: This was a multicenter cohort analysis of the Vestrum Health LLC Database (Naperville, Illinois). Children (1-17 years) with rhegmatogenous retinal detachment (RRD), as identified by ICD10 and CPT codes, between January 2015 and August 2021. Demographic, comorbidity, visual acuity, and treatment modality data were analyzed. RESULTS:: A total of 168,152 RRDs were identified, of which 2200 (1.3%) were 1-17 years old. Mean age was 12.7 years, and 821 (37%) were female. The prevalence of RRD increased with age (P =0.009). Associated co-morbidities included myopia (17.3%), ocular trauma (7.5%), and history of prematurity (5.7%). Laser retinopexy alone was used as the initial treatment modality in 19%, primary vitrectomy in 23%, primary scleral buckle in 25%, and vitrectomy with scleral buckle in 33%. The single surgery success rate for all procedures was 73.3%. Of the incisional surgical modalities, primary scleral buckling had the best single surgery success rate (79.0%) compared to vitrectomy alone (64.5%) and vitrectomy with scleral buckle (67.2%) (p < 0.001 and p = 0.004, respectively). Younger age resulted in worse SSSR overall (coefficient = 0.151, R = 0.746, p = 0.027). CONCLUSION:: Rhegmatogenous retinal detachments in children increased with age. Myopia, trauma, and history of retinopathy of prematurity were common risk factors. Treatment techniques varied, but primary scleral buckling had the best anatomic and visual outcomes.