AbstractPurpose:  To report the outcome of retinal detachment surgery following trauma treated with small‐gauge vitrectomy.Design:  Retrospective chart review.Participants:  Adult patients presenting with a retinal detachment following severe trauma between 2007 and 2009 that underwent vitreoretinal surgery with either 25‐ or 23‐gauge vitrectomy.Methods:  Data collected included; age, sex, eye, time interval between injury and diagnosis of retinal detachment, anatomical and functional success, complications, and length of follow up.Main Outcome Measures:  Anatomical and functional outcome.Results:  Nineteen consecutive adult patients with traumatic retinal detachment were included. The mean age was 51.4 ± 19.3 years; 68.5% were male. Thirteen patients (68.4%) presented with visual acuity of hand movement or worse including six patients with light perception only. Five eyes achieved 6/60 vision or better, and three eyes had visual acuity of 6/12 or better. During the period of follow up six eyes experienced a recurrent retinal detachment.Conclusion:  Traumatic retinal detachment can be successful managed with small‐gauge vitrectomy.