目前,角膜碱性烧伤的手术治疗仍然是尚待解决的难题。作者讨论了眼的碱性烧伤的病理生理,认为对眼化学烧伤采用改良的角膜移植术和适当的术后处理,前景是乐观的。(一)组织损伤及其分级:眼碱性烧伤的程度与碱液量、浓度、接触时间和溶液的穿透力有关。组织损伤的机理是碱离子快速穿透眼 At present, the surgical treatment of corneal alkaline burns remains a problem that remains to be solved. The authors discuss the pathophysiology of ocular alkali burns and consider the prospect of optimistic corneal transplantation for ocular chemical burns and appropriate postoperative management. (A) Tissue damage and its classification: The degree of ocular alkaline burn is related to the amount of lye, the concentration, the contact time and the penetration of the solution. The mechanism of tissue damage is rapid penetration of alkali ions into the eye