AIM:To discuss the therapeutic effect, surgical indication of scleral buckling for rhegmatogenous retinal detachment (RRD). METHODS:The major surgery were as followed : retinal breaks locating, cryotherapy, scleral buckling or encir-cling scleral buckling. Ninety-four patients(ninety-six eyes) with RRD accepted surgery, including ninety-one eyes in segmental scleral buckling and five eyes in encircling scleral buckling. Among these cases sixtyseven eyes underwent subretinal fluid drainage and nineteen eyes with combined intravitreal gas filing. RESULTS:The rate of retinal reattachment after one surgical procedure was 94% and after two procedures was 98%. And there were no serious complications in operation and post-operation. CONCLUSION:Scleral buckling appears to be safe and effective in patients with RRD.