?AIM:To explore the efficacy and safety of operation in treating secondary glaucoma caused by contusion hyphema.?METHODS: Seventy patients (70 eyes) with secondary glaucoma caused by contusion of anterior chamber in our hospital from November 2014 to November 2015 were selected.All patients were treated by operation.Visual acuity, anterior chamber depth, mean intraocular pressure and postoperative complications of patients before and after operation were compared.?RESULTS:Patients with secondary glaucoma caused by contusion of anterior chamber had better visual acuity after operation and the difference was statistically significant (t=42.471, P<0.001).And they had deeper anterior chamber depth and lower mean intraocular pressure, and the differences were statistically significant (t=9.726, 26.041; P<0.001).Two of those patients had emergence of hyphema after operation and symptomatic relieved after treatment. None of the patients had complications such as blood-staining of cornea or eye pain.? CONCLUSION: The curative effect of operation in treating secondary glaucoma caused by contusion of anterior chamber is good and safe and it can improve visual acuity, deepen the anterior chamber angle depth and reduce the intraocular pressure.%目的：探讨手术治疗挫伤性前房积血所致继发性青光眼的疗效及安全性分析。方法：选取2014－11／2015－11我院收治的挫伤性前房积血继发性青光眼患者70例70眼，所有患者均行手术治疗，对比患者手术前后的视力、前房深度、平均眼压及术后并发症情况。结果：与治疗前相比，挫伤性前房积血所致继发性青光眼患者治疗后视力明显改善，差异有统计学意义（t＝42.471，P＜0．001）。与治疗前相比，挫伤性前房积血所致继发性青光眼患者治疗后前房深度较深，平均眼压较低，差异有统计学意义（ t＝9．726、26．041， P＜0．001）。2例继发性青光眼患者手术治疗后出现前房积血，经治疗后症状缓解，未出现角膜血染、眼球肿胀疼痛等并发症。结论：手术治疗挫伤性前房积血所致继发性青光眼患者的疗效佳，安全性高，能提高患者的视力、加深前房角深度以及降低眼压。
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