目的:评价透明质酸钠在外伤性前房积血手术中的临床效果。方法:观察32例32眼前房积血通过透明质酸钠辅助进行前房冲洗术,透明质酸钠在维持前房、稳定眼压、特别是软性分离作用对分离血凝块和机化物、清除积血、保护眼内组织的作用。结果:患者32例32眼均在术中顺利清除积血,视力明显提高,无继发性出血发生,无1例发生虹膜和晶状体损伤。结论:利用透明质酸钠辅助前房冲洗术,可以安全、简便、顺利地清除前房积血,有效的防止了术中再损伤的发生。

AIM:To observe the clinical effect of sodium hyaluronate on traumatic anterior chamber hematocele.METHODS:Thirty-two patients 32 eyes with the anterior chamber hematocele underwent the anterior chamber flushing technique with the sodium hyaluronate.It can maintain the anterior chamber,stable intraocular pressure,especially the soft separation function to separates the blood clot and machine the thing,eliminate hematocele,protect intraocular organization.RESULTS:Thirty-two patients by this technique had a disappeared hematocele and good vision.None of patients had the occurrence of sequential hemorrhage and the damage of iris and lens.CONCLUSION:The anterior chamber flushing technique using sodium hyaluronate may be a safe,simple and effective method for the anterior chamber hematocele.And it has the effect for preventing the secondary damages.

R779.6