Materials and Methods: 60 patients (61 eye) charts are reviewed retrospectively forming two groups; coexisting with cataract and vitreoretinal pathology which had combined or separate surgery between 2004-2011. The patients preoperative, postoperative 1'sth month and last visit best corrected visual acuity is registered in snellen test and translated to logMAR test. Patients preoperative and postoperative refractions spherical equivalent are recorded.

Results: We inserted 30 eyeses of 30 patient which had combined surgery in the first group and 31 eyeses of 30 patients which had separate surgery in in second group. 1'sth grupes mean preoperative vision is 1.34±0.96 (3-0.8) logMAR, postoperative 1'sth month vision is 1.38±0.96 (3-0.8) logMAR and the last visit vision is 0.92±0.75 (3-0.8). 2'nd grupes mean preoperative vision is 1.48±0.87 (3-0.8) logMAR, postoperative 1'sth month vision is 0.81±0.86 (3-0.8) logMAR and the last visit vision is 0.69±0.81 (3-0.8) logMAR. There was no significant relation between two grups visions (p=0.055). In 1'sth grup 18 (60.0%) eyeses vision improved, 8 (26.7%) eyeses vision decreased, 4 (13.3%) eyses vision didn't changed at the last visit. In 2'nd grup 24 (80%) eyeses vision improved, 2 (6.7%) eyeses vision decreased, 4 (13.3%) eyses vision didn't changed at the last visit.

Conclusion: Combined surgery procures early visual rehabilitation and protects the patient from the second cataract surgery. Keywords : Phacoemulsification, combined surgery, spherical equivalent, visual outcome