ObjectiveTo observe the clinical effect of vitrectomy in the treatment of intraocular foreign body complicated with retinal hole. MethodsTwenty four patients (24 eyes) with intraocular foreign bodies complicated with retinal hole were performed with vitrectomy, foreign body extracting, retinal hole closing by laser, retinal detachment resetting by heavy water gas-fluid exchange, and silicone oil tamponade. The postoperative conditions of foreign body extraction, retinal detachment restoration and complications, as well as changes of vision before and after operation were observed. ResultsTwenty-four patients obtained a 100% success rate of foreign body extracting at the first stage of operation, and their postoperative vision significantly improved (P＜0.05). The vision did not improved due to the complication of macular hole in 3 cases (3 eyes, 12.5%), but it improved to varying degrees in the other 21 cases (21 eyes, 87.5%). Of the 16 cases of retinal detachment, fourteen (14 eyes, 87.5%) were successfully reset, 2 cases (2 eyes, 12.5%) had their retinal detachment recurred after oil extraction, but were successfully reset after re-operation. ConclusionVitrectomy is an effective method for intraocular foreign bodies complicated with retinal hole, with less complications and better visual function recovery.

无