1 病历简介患儿,男,5岁。玩耍时右眼被击伤,当时无眼痛、眼红、流泪和畏光等症状,未就医。半年后感眼痛、头痛,并有流泪、怕光且视物不见等症状,经当地医院治疗无效,以“右眼球钝挫伤”入我院。查体:右眼无光感,结膜轻度充血,眼球活动无异常,角膜雾状水肿,上有数个大泡。前房消失,虹膜纹理不清,向前膨隆,几乎与角膜内皮相贴。瞳孔<2mm,后粘连,无光反射,瞳孔区有一薄膜,眼压7.88kPa。玻璃体和眼底窥不清。家族无 1 medical records children, male, 5 years old. Play right eye was wounded, then no eye pain, jealous, tears and photophobia and other symptoms, did not seek medical treatment. Six months after eye irritation, headache, and tears, photophobia and visual symptoms and other symptoms, the local hospital treatment is invalid, “right eye ball blunt injury ” into our hospital. Physical examination: right eye no light feeling, conjunctival mild congestion, no abnormal eye activity, corneal edema, there are several large bubbles. Anterior chamber disappears, iris texture is unclear, bulging forward, almost with the corneal endothelium. Pupil <2mm, after adhesion, no light reflection, the pupil area has a thin film, intraocular pressure 7.88kPa. Vitreous and fundus peep unclear. Family no