目的　探讨玻璃体视网膜手术 (VR术 )联合硅油填充治疗复杂性玻璃体视网膜病变的临床效果。方法　对采用VR术联合硅油填充治疗 10 2例 (10 2只眼 )复杂性玻璃体视网膜病变患者进行临床分析。结果　术后近期视网膜复位 97眼 (95 1% ) ;91眼随访 3～ 2 3月 ,平均 13 3月 ,最终视网膜复位 81眼 (88 9% )。术后最终视力提高 78眼(85 7% ) ;0 0 5以上视力 4 3眼 (4 7 3% )。术中主要并发症是医源性裂孔 (8眼 ,7 8% ) ;术后主要并发症分别是白内障(4 1眼 ,4 5 1% )、继发性青光眼 (13眼 ,14 3% )和视网膜脱离 (10眼 ,11% )。结论　VR术联合硅油填充是治疗复杂性玻璃体视网膜病变的有效方法。 Objective To investigate the clinical effect of vitreoretinal surgery (VR) combined with silicone oil in the treatment of complex vitreoretinopathy. Methods The clinical data of 102 patients (102 eyes) complicated with vitreoretinopathy treated with VR and silicone oil were retrospectively analyzed. Results There were 97 eyes (95 1%) underwent immediate postoperative retinal reattachment; 91 eyes were followed up from March to March, with an average of 13 months and final retinal reattachment of 81 eyes (88 9%). Postoperative visual acuity increased 78 eyes (85 7%); visual acuity above 0 0 5 43 eyes (473%). The main complications during operation were iatrogenic hiatus (8 eyes, 78%). The main postoperative complications were cataract (41 eyes, 451%), secondary glaucoma (13 eyes, 14 3%), And retinal detachment (10 eyes, 11%). Conclusion VR combined with silicone oil filling is an effective method for the treatment of complex vitreoretinopathy.