目的对2008年4月至2010年6月收治的2160例(2168眼)角膜异物全部在裂隙灯下行角膜异物剔除术进行回顾性分析。方法所有患者均用盐酸奥布卡因表面麻醉后在裂隙灯下用一次性针头(4.5号)剔除,对于症状重或已感染者行扩瞳、球结膜下注射妥布霉素注射液2万U+地塞米松注射液2.5mg,全身使用抗生素和维生素等。结果裂隙灯下严格无菌操作剔除角膜异物,医师应具备熟练的眼科操作技术,尽可能一次性清除金属异物及锈环,预防及减少并发症。结论对角膜异物高危人群进行知识宣教,充分认识角膜异物危害性,加强个人防护,一旦发生应及时就诊。 Objective To retrospectively analyze 2160 cases (2168 eyes) of all corneal foreign bodies treated with slit lamp retrograde corneal foreign body removal from April 2008 to June 2010. Methods All patients were anesthetized with surface anesthesia with buprenorphine hydrochloride, and were removed with a disposable needle (4.5) under slit lamp. For patients with severe symptoms or who had infection, dilation was performed and 20,000 U + dexamethasone injection 2.5mg, systemic use of antibiotics and vitamins. Results Under strict aseptic operation under slit lamp, corneal foreign bodies should be removed. Physicians should have skilled ophthalmic operation techniques to remove metallic foreign bodies and rust rings as soon as possible to prevent and reduce complications. Conclusion Knowledge of the high risk of corneal foreign body mission, fully aware of the dangers of corneal foreign body, strengthen personal protection, should occur in time for treatment.