目的　探讨眼钝挫伤后脉络膜破裂视力损害的原因。方法　通过眼底荧光血管造影观察伤后眼底改变。结果　18 例眼球钝挫伤后脉络膜破裂中,16 例黄斑部直接损害,同时10 例有脉络膜视网膜充盈倒置,14 例有黄斑拱环模糊。结论　FFA 有助于鉴别不同层次的脉络膜损伤。伤后黄斑部直接损伤是视力损害的主要原因,脉络膜视网膜充盈倒置、黄斑拱环模糊,证明伤后视盘血供及黄斑血液循环障碍,是视力损害的重要因素 Objective To investigate the causes of choroidal rupture after ocular contusion. Methods Fundus fluorescein angiography was used to observe the fundus changes after injury. Results 18 cases of choroidal rupture after eye contusion, 16 cases of macular direct damage, while 10 cases of chorioretinal filling inversion, 14 cases of macular blurring. Conclusion FFA helps to identify different levels of choroidal injury. Direct damage to the macula after injury is the main cause of visual impairment, the chorioretinal fills upside down, the blurring of the arch of the macular, evidence of disc blood supply and macular blood circulation disorders, is an important factor in visual impairment