眼球穿通伤所致巩膜缺损,在修复时强行牵拉缝合,会造成眼球形状的改变,容易引起脉络膜、视网膜出血或脱离,近角膜缘处可引起角膜性散光。目前,巩膜缺损常采用巩膜移植片修复,这就使得有些巩膜缺损因受条件限制而不能修复。我科近年来采用在缺损创口缘部切取巩膜瓣,反转修复巩膜缺损,取得良好效果。 Eye injury caused by scleral penetrating injury, forced repair of the suture, will cause changes in eye shape, easily lead to choroid, retinal hemorrhage or detachment, near the corneal edge can cause corneal astigmatism. Currently, scleral defects often use scleral graft repair, which makes some scleral defects due to conditions can not be repaired. In recent years, our department in the margins of the defect wound scleral flap, reverse repair scleral defect, and achieved good results.