AIM: To investigate the pathogenesis, clinical features of rhegmatogenous retinal detachment with vitreous hemorrhage and the treatment effect of vitrectomy.

METHODS: Clinical data of 24 cases(24 eyes)treated with vitrectomy for rhegmatogenous retinal detachment with vitreous hemorrhage was analyzed retrospectively.

RESULTS: In youth group(<45 years old), there were 11 eyes, in middle-aged group(45-59 years old), there were 9 eyes, in old group(>60 years old), there were 4 eyes. Twenty-one eyes were horseshoe tear, including 2 eyes with horseshoe tear<1PD, 1PD≤14 eyes<2PD, 2PD ≤ 5 eyes<1 quadrant; 3 eye with round hole<1PD. Thirteen eyes with retinal tear were identified in the superotemporal retina, followed by inferotemporal 8 eyes, superonasal 3 eyes. Ten eyes with retinal detachment were identified in the superotemporal retina, followed by superonasal 2 eyes, totally detached 1 eye, temporal 11 eyes. Time of vitreous hemorrhage and visual acuity after vitrectomy: in one month group, there were 16 eyes, 13 eyes with the visual acuity 0.2-0.4, 3 eyes with the visual acuity ≥0.5; in 2 months group, there were 5 eyes, 3 eyes with the visual acuity 0.01-0.1, 2 eyes with the visual acuity 0.2-0.4; in 3 months group, there was 1 eye, visual acuity 0.01-0.1; in over 3 months group, there were 2 eyes, 1 eye with the visual acuity CF, 1 eye with the visual acuity HM.

CONCLUSION: Early diagnosis and timely vitrectomy for rhegmatogenous retinal detachment with vitreous hemorrhage can achieve a better effect.