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目的 探讨有关前房积血继发青光眼手术的时间、方法等问题。方法 ８５ 眼药物不能控制的外伤性前房积血继发青光眼患者， 采用前房穿剌， 尿激酶前房冲洗， ９ 眼眼压仍不能控制者采用小梁切除术。结果 除２ 眼化学性爆炸伤外其余患者眼压正常， 视力有显著性提高， ５ 眼发生视神经萎缩。术后未出现角膜血染， 无手术并发症出现。结论 对前房积血继发性青光眼患者在药物不能控制时应及早手术。前房穿刺、冲洗术为一种安全有效的方法。
Objective To investigate the time, method and other issues related to glaucoma secondary to hyphema. Methods 85 eyes of traumatic hyphema secondary to glaucoma who could not be controlled by drugs were treated with anterior chamber puncture, urokinase anterior chamber flushing and 9 eyes with intraocular pressure (IOP) that still could not be controlled by trabeculectomy. Results In addition to the two chemical explosive injuries in other patients with normal intraocular pressure, visual acuity was significantly improved, optic nerve atrophy occurred in 5 eyes. No postoperative corneal blood stained, no surgical complications. Conclusions Patients with secondary glaucoma in anterior chamber hemorrhage should be treated as soon as possible when the drug can not be controlled. Anterior chamber puncture, irrigation surgery as a safe and effective method.