Abstract:AIM:To explore the operating skills of emergency surgeries for children’s penetrating wound of anterior segment so as to reduce postoperative complications.METHODS:Use viscoelastic to protect iris and put the iris back into the eyeball.Separate the adhesion at the anterior chamber between iris and cornea and the adhesion between iris and the wound by iris restitutor through the side incision at the limbus of the cornea.Irrigate and aspirate the viscoelastic and the bloody exudation on the surface of the iris by 6 12 double-lumen lens needle to form and maintain the anterior chamber and the normal position of the lens iris diaphragm.RESULTS:In 36 patients,only 1 child had synechia and mild iris deformation postoperatively.The success rate was 97%.CONCLUSION:Using viscoelastic to protect the iris,separating the adhesion at the anterior chamber between the iris and the cornea and the adhesion between iris and the wound,irrigating and aspirating the viscoelastic and the bloody exudation on the surface of the iris can reduce complications and improve success rate in the emergency surgeries for children’s anterior segment injury.
