方法：选取2011-06/2013-06我院眼科收治的58例58 眼开放性眼外伤患者，分为观察组和对照组，分别进行早期和常规时间Ⅱ期玻璃体手术治疗，整理患者相关临床资料。其中观察组30例30 眼，于伤后3d内行玻璃体手术； 对照组28例28 眼，于伤后1～2wk内行玻璃体手术。比较两组患者手术前眼部损伤、手术后治疗效果以及手术后并发症的发生情况。

结果：两组患者术前晶状体破裂、玻璃体积血、视网膜脱离、角膜裂伤等眼部损伤情况比较无明显统计学差异(P>0.05)； 观察组术后的治疗效果明显优于对照组，差异有统计学意义(χ²=6.869，P<0.05)； 观察组术后并发症的发生情况明显低于对照组，差异有统计学意义(P<0.05)。

结论：开放性眼外伤患者行玻璃体手术的时机与患者的预后情况具有相关性，提示早期对开放性眼外伤患者行玻璃体手术能达到更好的治疗效果，减少并发症的发生。

METHODS: Fifty-eight cases(58 eyes)with open globe injuries were chosen in our hospital from June 2011 to June 2013, and randomly divided into observation group and control group to have vitreous surgery in early phase and normal time respectively. Thirty cases(30 eyes)in the observation group were received vitreous surgery during 3d, and 28 cases(28 eyes)in the control group from one to two weeks. The vitreous surgery of two groups of patients were finished by the author herself. The ocular injury before surgery, the effect of surgery treatment and the incidence of complications after surgery of the two groups of patients were compared.

RESULTS: The eye damage situation such as lens rupture,vitreous hemorrhage, retinal detachment and corneal laceration of two groups of patients before surgery were no significant statistical difference(P>0.05). The postoperative therapeutic effect of observation group was better than the control group(χ²=6.869, P<0.05); the postoperative complications of observation group was obviously lower than the control group(P<0.05).

CONCLUSION: The timing of vitreous surgery of patients with open globe injuries correlate with the prognosis, which prompts that better therapeutic effect can be achieved and the occurrence of complications can be reduced in early vitreous surgery of the patients with open globe injuries.