目的探讨儿童挫伤性前房出血继发青光眼的治疗方法。方法２５例Ⅲ级挫伤性前房出血继发青光眼，采取结膜瓣下角膜缘切口的前房穿刺及尿激酶冲洗术。结果术后前房出血消失，眼压得到控制。结论此切口易于扩大，减少了术后角膜散光，不易发生眼内感染。而尿激酶直接作用于血块，使小血块完全溶解，大血块部分溶解并减少粘连，易于吸出或直接取出。继发青光眼则因出血的吸收，阻塞的房角和瞳孔重新开放而缓解 Objective To investigate the treatment of secondary glaucoma in children with contusion hyphema. Methods Twenty - five patients with Grade Ⅲ contusion of posterior chamber hemorrhage secondary to glaucoma were treated by anterior chamber puncture of the conjunctiva flap and incision of urokinase. Results postoperative anterior chamber disappeared, intraocular pressure was controlled. Conclusion This incision is easy to expand, reducing postoperative corneal astigmatism, intraocular infection is not prone to. The urokinase directly on the clot, so that small clot completely dissolved, large clot lysis and reduce adhesions, easy to suck out or directly removed. Secondary glaucoma is due to the absorption of bleeding, clogged eyes and pupil reopening and ease