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目的：探讨儿童挫伤性前房积血并继发性青光眼伤后的就诊时间、临床特征和手术治疗时机的选择以及治疗效果．方法：对１９例挫伤性前房积血并继发性青光眼的患儿，首先采用保守治疗，同时密切观察其眼压及角膜的变化情况．如眼压毫无好转现象或者有早期角膜血染，则果断地进行前房穿刺冲洗术．结果：本组１９例患儿出院时指诊眼压正常，该１９例在１月～１０个月内均获随访，其复查视力为：１０例０．７～１．０、４例０．５～０．６、２例０．３～０．４，１例０．１～０．２、２例仍低于０．０５．结论：儿童挫伤性前房积血并继发性青光眼一旦发生再出血，经保守治疗无好转，高眼压不能控制或有早期角膜血染，则应果断采取手术治疗，因此伤后早期正确地治疗及手术时机的选择显得很重要．
Objective: To explore the treatment time, clinical features and the timing of surgical treatment in children with contusion hyphema and secondary glaucoma injury and the therapeutic effect. Methods: Nineteen patients with contusion hyphema and secondary glaucoma were treated conservatively first, and their intraocular pressure and corneal changes were observed closely. If there is no improvement in intraocular pressure or early corneal blood stained, decisive for anterior chamber puncture rinse. RESULTS: Twenty-nine patients in our group had normal finger pressure at discharge. All 19 patients were followed up within 1 month to 10 months. The visual acuity was 10 cases (0.7-1.0) and 4 cases (0%). 5 to 0.6, 2 to 0.3 to 0.4, 1 to 0.1 to 0.2 and 2 to still less than 0.05. Conclusion: In children with contusive hyphema and secondary glaucoma, there is no recurrence after conservative treatment, high intraocular pressure can not be controlled or early corneal blood stained, you should take decisive surgical treatment, so early after injury correctly The timing of treatment and surgery seems important.