Materials and Methods: A total of 159 eyes of 159 patients who presented to our outpatient clinic with the complaint of vision loss and underwent surgery with the diagnosis of rhegmatogenous RD were included in this study. Patients who underwent 23 gauge PPV combined with standard cataract surgery were included in group 1 (n=62) and patients who underwent 23 gauge PPV alone were included in group 2 (n=97). Demographic data, preoperative and postoperative best corrected visual acuity (BCVA), anatomical success rates, optical coherence tomography findings and complications were recorded.

Results: The median BCVA value before surgery was 0.003 in group 1 and 0.016 in group 2 and the difference was not significant (p=0.69). After surgery, the median visual acuity value in both groups was 0.3 and the increase was significant in both groups (p<0.001 for both groups). Similarly, the postoperative manifest spherical equivalents were similar between the two groups and there was no statistically significant difference (p=0.92). Reoperation was required in 4 patients (6.5%) in group 1 and 15 patients (15.5%) in group 2 due to recurrent detachment and there was no significant difference between the two groups in terms of reoperation rates (p=0.087).

Conclusion: Combined surgery in the treatment of rhegmatogenous RD can be safely performed without serious complications. Keywords : Cataract, pars plana, rhegmatogenous retinal detachment, surgery, vitrectomy