目的:观察采用综合手术方法治疗挫伤性重度前房积血的手术效果,并探讨其手术技巧。方法:对23例23眼重度前房积血患者采用了透明角膜切口、超声乳化灌注抽吸或手动抽吸、前房注入黏弹剂分离取出凝血块,对于术中再次前房出血的,则前房注入并保留少许黏弹剂等综合手术方法。术后注意观察前房、视力和眼压情况。结果:术后23例23眼中21眼一次手术成功,2眼术后再次前房出血;术后视力<0.05者5眼(22%),0.05～0.3者11眼(48%),>0.3者7眼(30%)。结论:针对不同情况的前房积血,采用不同的手术方法,可达到较好的手术效果。

AIM:To observe the effect of multi-surgery for the treatment of severe traumatic hyphema and investigate surgical techniques.METHODS:Twenty-three cases (23 eyes) with severe traumatic hyphema underwent corneal incision and irriga-tionaspiration with ultrasound emulsification equipment or bimanual system to draw-off anterior chamber hyphema. During the operation,the viscoelastics was used to separate the blood clots and to stop bleeding. Anterior chamber,intraocular pressure and visual acuity were observed postoperatively.RESULTS:Twenty-one eyes succeeded in the first surgery,and the other 2 eyes failed. Visions less than 0.05 were in 5 eyes(22%),0.05~0.3 in 11 eyes(48%),and more than 0.3 in 7 eyes(30%).CONCLUSION:Multi-surgery in different hyphema may achieve better outcome.

R779.1