·AIM:To disscus the effect of the vitrectomy and scleral buckling for complicated retinal detachment.·METHODS:Totally 27 cases with complicated retinal detachment were treated by vitrectomy and scleral buckling,complicated retinal detachment included choroidal detachment associated with retinal detachment,pathological myopia associated with retinal detachment,vitreous hemorrhage with retinal detachment,proliferative vitreoretinopathy,recurrent retinal detachment after pars plana vitrectany,recurrent retinal detachment after silicone oil fill.·RESULTS:Retina was attached completely in 24 cases(89%).Complications included high intraocular pressure.·CONCLUSION:Vitrectomy and scleral buckling is an effective way to treat complicated retinal detachment.·