AIM: To observe the treatment of anterior chamber paracentesis for elevated intraocular pressure(IOP)in scleral buckling.

METHODS: Totally 28 cases 28 eyes with phakic rhegmatogenous retinal detachment who have elevated IOP in the scleral buckling were observed and analyzed; In operation, all patients underwent subretinal fluid draining, positioning, retinal breaks condensing, and given segmental scleral pressure or combined with scleral buckling under direct vision with binocular indirect ophthalmoscope; Before the end of operation, patients with the fundus examination revealed retinal arterial pulse, high IOP were given anterior chamber paracentesis fluid therapy.

RESULTS: In the first day after surgery, all patients were given IOP checks, the result of all patients were with IOP less than 21mmHg, and no corneal edema, shallow anterior chamber and retinal artery occlusion etc complications.

CONCLUSION: Anterior chamber paracentesis is a simple, easy, safe and effective treatment method for high IOP caused by scleral buckling.