方法：回顾分析2009-11/2011-11收治的开放性眼外伤患者216例221眼。

结果：伤口超过30mm的患者13眼均发生眼球萎缩。视网膜脱出45眼中，35眼(78%)进行了玻璃体切除手术，15眼(33%)最终发生了眼球萎缩。发生脉络膜下腔出血39眼中，20眼(51%)发生了眼球萎缩。视网膜脱出和脉络膜下腔出血增加了眼球萎缩的风险(P<0.05)。巩膜裂伤96眼中，30眼(31%)Ⅰ期进行巩膜垫压+冷凝手术。112眼(51%)进行了玻璃体切除+硅油注入手术，最终64眼(29%)无光感，降低了患者失明率(P<0.05)。

结论：重度眼外伤的预后和多种因素相关，视网膜脱出和脉络膜下腔出血是判断预后的重要指征。早期的巩膜垫压+冷凝手术及玻璃体切除手术具有治疗作用，可改善患者视功能。

METHODS: A retrospective analysis of 216 ocular trauma patients(221 eyes), in our hospital from November 2009 to November 2011, was completed.

RESULTS: The eyeball atrophy inevitably occurred in 13 eye wounds more than 30mm. Retinal prolapse of the eyes, 78%(35/45)completed vitrectomy, 33%(15/45)were eyeball atrophy. The 51%(20/39)of subchoroidal hemorrhage eyes were eyeball atrophy. Retinal prolapse and subchoroidal hemorrhage increased the risk of ocular atrophy(P<0.05). Scleral rupture of the eyes, 31%(30/96)completed scleral buckling condensation surgery, 51%(112/221)completed the vitrectomy and scleral silicone oil injection surgery. Final, 29%(64/221)eyes were no light perception. It reduced the rate of blindness(P<0.05).

CONCLUSION: Serious ocular trauma prognosis related to many factors. The retina prolapse and the subchoroidal hemorrhage were important prognosis testify. A scleral buckling condensation surgery and vitrectomy have a therapeutic effect, and can improve visual function.