方法：回顾137例138眼开放性眼外伤住院患者临床资料； 记录受伤原因、时间、地点与就诊时间、致伤物种类、受伤分级及并发症情况及手术方式、治疗前后视力。将视力<0.1作为预后差的标准与视力≥0.1组进行比较。分析治疗前后视力差异。

结果：开放性眼外伤137例男女比例为6.61：1，以19～49岁青壮年为多，平均年龄33.28岁。致伤物第一位为金属器物，第二位为木质； 90例90眼接受二期手术处理，占65.2%，其中有34例34眼接受全玻璃体切割手术，术后6mo最佳矫正视力≥0.5者有31例31眼，占22.5%，最佳矫正视力≥0.1者77例77眼，占55.8%。治疗前后视力构成比差异有统计学意义，治疗后视力得到显著改善(χ²=137.40，P=0.000)。1例双眼雷管爆炸伤患者1眼给予行眼球摘除。

结论：经济欠发达地区开放性眼外伤与国际眼外伤流行病学特征相符，又有自已的特征，积极的眼外伤一期处理和二期全玻璃体切割手术能有效提高患者术后最佳矫正视力，减少并发症，改善眼外伤患者伤后生活质量。

METHODS:Clinical data of 137 cases(138 eyes)with ocular trauma in our hospital were reviewed; injured causes, time, place and time of get hurt by species, kind, and complications of injury classification and operation method, eyesight before and after treatment were recorded. Vision < 0.1 as the poor standards of prognosis was compared with visual acuity ≥0.1 group. The difference in vision between before and after treatment was analyzed.

RESULTS:The gender ratio of 137 cases of ocular trauma was 6.61:1, with 19-49 years old for young adults, with an average age of 33.28 years. The first cause of injury was metal implements, the second was wood. 90 cases(90 eyes)underwent second stage surgical treatment, accounting for 65.2%. There were 34 cases(34 eyes)accepted the vitrectomy, the best-corrected visual acuity(BCVA)≥0.5 in 31 cases(31 eyes)6 months after surgery, accounting for 22.5%, BCVA≥ 0.1 in 77 cases(77 eyes), accounting for 55.8%. Constituent ratio of visual acuity before and after treatment had statistically significant difference. The visual acuity were markedly improved after treatment(the Chi-square=137.40, P=0.000). 1 case of explosion hurt patient's 1 eye performed eye excision.

CONCLUSION: Ocular trauma in undeveloped areas accords with international ocular trauma in epidemiological characteristics, and has its own characteristics. Positive first phase treatment and second phase vitrectomy can effectively improve the postoperative BCVA, reduce the complications and improve the quality of life for ocular trauma patients after injury.