目的　分析外伤后眼内容摘除的原因和羟基磷灰石义眼座Ⅰ期植入的手术特点。方法　住院病例分析和随访观察。结果　 2 7例 2 7眼 ,眼内容摘除的原因 :严重眼球破裂伤急诊手术 3例 ,眼内炎 10例 ,眼外伤并发症 8例。按无菌术的观点 ,分为污染手术、感染手术和无菌手术 3个类别。结论　严重眼球破裂伤、眼内炎和眼球外伤并发症是外伤后眼球丧失的主要原因。Ⅰ期植入义眼座手术可分为污染、感染和无菌 3个类别。 Objective To analyze the causes of ocular contents removal after trauma and the surgical features of hydroxyapatite orbital implantation in stage Ⅰ. Methods Inpatient analysis and follow-up observation. Results 27 cases of 27 eyes, the reasons for the removal of the eye content: severe ocular rupture emergency surgery in 3 cases, 10 cases of endophthalmitis, ocular trauma complications in 8 cases. According to the sterile point of view, divided into polluting surgery, infection surgery and aseptic surgery three categories. Conclusion The serious eyeball rupture, endophthalmitis and ocular trauma complications are the main causes of eyeball loss after trauma. Stage I implants surgery can be divided into pollution, infection and sterile 3 categories.