本文根据74例眼球穿孔伤的病理观察结果,将穿孔伤分为三度。1周内摘出者均为重度伤,摘出后无1例发生交感性眼炎。中、轻度伤主要为继发病变而摘出眼球。在伤后2周以上病例中,出现眼内纤维增生者49例(92％);睫状膜34例(64％),视网膜表面胰23例(43％),视网膜脱离47例(89％),其中19例证实为牵拉性。增生的细胞来源于伤口和眼内细胞成分,如睫状上皮等。仿口内组织嵌顿、上皮不能复盖创面,炎症与出血是引起眼内增生的主要因素。及时严密缝合伤口,必要时在2周内行玻璃体手术,对防止这一并发症有一定作用。 Based on the pathological findings of 74 cases of perforation of the eyeball, the perforation was divided into three degrees. One week after the removal were severe injuries, no case of exudative sympathetic ophthalmia. Medium and minor injuries were mainly secondary lesions removed the eye. 49 cases (92%) had intraocular fibrosis, 34 cases (64%) had ciliary membrane, 23 cases (43%) had retinal surface pancreas, and 47 cases (89%) had retinal detachment in more than 2 weeks after injury. 19 of them confirmed traction. Hyperplastic cells derived from wounds and intraocular cellular components, such as the ciliary epithelium and so on. Imitation mouth incarcerated tissue, the epithelium can not cover the wound, inflammation and bleeding are the main causes of intraocular hyperplasia. Strict timely suture wound, if necessary, within 2 weeks of vitrectomy, to prevent this complication have a role.