少数外伤性前房出血用药物保守治疗常获成功,但全前房出血的视力预后较差。手术的目的是为了防止因难以控制的眼压增高而引起的角膜血染及/或视神经损伤。近来提倡的手术方法有:前房穿刺、用生理盐水、尿激酶或纤维蛋白溶解素冲洗、血块冷冻摘出、血块赶出和超声波乳化吸出。作者报导8例外伤性前房出血用玻璃体切割器治疗的远期疗效。手术方法:在全身麻醉和手术显微镜观察下,以5—0丝线作直肌固定,先以51号Beaver刀于3:00子午线靠近角巩缘作一角膜缘小切 A small number of traumatic hyphema with conservative treatment of drugs often successful, but the prognosis of the whole anterior chamber hemorrhage poor vision. The purpose of surgery is to prevent corneal bloody and / or optic nerve damage caused by an unmanageable intraocular pressure increase. Recently advocated surgical methods are: anterior chamber puncture, with saline, urokinase or fibrin rinsing, frozen clot removal, removal of blood clots and ultrasonic emulsification sucked out. The authors report the long-term efficacy of vitrectomy in 8 patients with traumatic hyphema. Surgical methods: under general anesthesia and surgical microscopy, 5-0 silk for rectus fixation, the first 51 Beaver knife at 3:00 meridian angle near the edge of the limbus for a limbal incision