Micro-vitreoretinal surgery combined with scleral buckling and intraocular tamponade were used in the treatment of 108 cases of complicated retinal detachment, including 5 cases with turbid media, 14 cases with traction bands, 53 cases with severe proliferative vitreoretinopathy, 13 cases with giant tears, and 23 cases with posterior retinal breaks. After a follow-up of 3-28 months, 69 cases (63.9%) achieved total retinal reattachment. Visual acuity was improved in 69 cases, unchanged in 24 cases, and decreased in 15 cases, 47 cases obtained visual acuities of over 0.05. The surgical procedures in different groups were discussed.