AIM: To observe the effect of 25G-assisted scleral buckling under direct vision in the treatment of retinal detachment in silicone oil-filled eyes.

METHODS: In the retrospective case study, 15 eyes of 15 patients who had retinal detachment after silicone oil filling were treated with 25G-assisted scleral buckling under direct vision. Experimental patients were followed up for 3-6mo to observe the retinal reattachment, visual acuity and intraocular pressure.

RESULTS: There were 15 eyes of 15 patients with inferior retinal detachment before operation. Retinal reattachment was achieved in 13 eyes(13 patients), and retina failed to be reattached in 2 eyes(2 patients)after operation. Furthermore, postoperative visual acuity was found to be improved more than one line in 11 eyes(11 patient), unchanged in 3 eyes(3 patients), and decreased more than one line in 1 eye(1 patient). Meanwhile, early postoperative intraocular pressure increased in some patients and returned to normal after drug control.

CONCLUSION: The 25G-assisted scleral buckling under direct vision has a definite curative effect in the treatment of retinal detachment in silicone oil-filled eyes.