AIM: To evaluate the efficiency of vitrectomy combined with inferior scleral buckling for a special kind of retinal detachment.

METHODS: Nineteen eyes of special retinal detachment had following features: 1)the course was more than 6mo; 2)there were at least one hole located in the 5:00-7:00 of the marginal retina; 3)the detachment range of retina more than 270 degrees and retinal proliferation in retinal detachment. The 19 eyes who received vitrectomy combined with inferior scleral buckling, retinal anatomic reattachment and visual function recovery was observed.

RESULTS: Among these 19 eyes, all eyes retinal anatomic reattachment and best corrected visual acuity(BCVA)was improved in various degrees. The BCVA was 0.01-0.1 in 5 eyes, 0.12-0.3 in 9 eyes, and ≥0.4 in 5 eyes.

CONCLUSION: It is an effective method to vitrectomy combined with inferior scleral buckling for the special kind of retinal detachment which has following features: 1)the course was more than 6mo; 2)there were at least one hole located in the 5:00-7:00 of the marginal retina; 3)the detachment range of retina more than 270 degrees and retinal proliferation of cable in retinal detachment.