AIM: To analyze the factors of penetrating ocular injury, and to investigate the prognostic factors and treatment strategies.

METHODS: A retrospective analysis of 216 ocular trauma patients(221 eyes), in our hospital from November 2009 to November 2011, was completed.

RESULTS: The eyeball atrophy inevitably occurred in 13 eye wounds more than 30mm. Retinal prolapse of the eyes, 78%(35/45)completed vitrectomy, 33%(15/45)were eyeball atrophy. The 51%(20/39)of subchoroidal hemorrhage eyes were eyeball atrophy. Retinal prolapse and subchoroidal hemorrhage increased the risk of ocular atrophy(P<0.05). Scleral rupture of the eyes, 31%(30/96)completed scleral buckling condensation surgery, 51%(112/221)completed the vitrectomy and scleral silicone oil injection surgery. Final, 29%(64/221)eyes were no light perception. It reduced the rate of blindness(P<0.05).

CONCLUSION: Serious ocular trauma prognosis related to many factors. The retina prolapse and the subchoroidal hemorrhage were important prognosis testify. A scleral buckling condensation surgery and vitrectomy have a therapeutic effect, and can improve visual function.