Children with traumatic cataract surgery: 15 cases involved years of traumatic foreign body from inside barrier merger ball in two cases. Causes of injury: while playing slingshot injuries occurred, knives, scissors, awl caused accidental injuries in one case, walking upstairs and falling resulted in glass block silicone injuries + cases of Taiwan and penetrating eye injuries (22 cases). Visual acuity: Apart from five pre-school children who were not checked before the surgery, 25 cases were below 0.05, corrected visual acuity was below 0.05 in two cases. 0.06 to 1.0 in 18 cases, 5 cases selected 1.5 as the best corrected visual acuity after treatment. Surgery time was within 6 hours after injury in three cases. From January to March, there were 5 cases; from April to June, there were 5 cases; from July onwards, there were 10 cases; more than 1 year, there were 7 cases. Surgical methods: The majority of the group underwent inside barrier needle aspiration (six cases). Perfusion from cataract aspiration (10 cases), linear excision from cataract (4 cases), machine membrane barrier cut-off surgery (10 cases). Discussion: 1. Children with traumatic cataract is a soft self-impaired condition with several post-traumatic situations; ① anterior capsule rupture, large mouth, cortical overflow filled the anterior chamber; ② small rupture of the anterior capsule, few prominent cortex; ③ short-term treatment, part of the cortex absorbed, residual cortex adhered to corneal wound or iris part; ④ accompanied by corneal scleral wound, a small number of units and intraocular foreign body. Two. Most surgeries require anesthesia with sulfur phenytoin sodium or ketamine combined with local anesthesia. Ocular trauma in children does not cooperate with inspection easily missing injuries. Often requires further detailed examination under anesthesia to decide whether joint surgery for combined complex injuries. The surgery will take casual techniques to draw out the cortex. 3. Surgical timing and choice of surgical procedure: The timing of surgery varies in different views [], but more favor early surgery because it can remove cloudy crystal as soon as possible, minus step crystal cabinet uveitis. Posterior synechia. Early surgery is easy to completely remove cloudy crystal cortical cataract reduced, especially early surgery can avoid amblyopia formation. Children with traumatic cataract mostly wear from eye injury caused by ① anterior capsule rupture, large mouth. Crystal cortex wearing human anterior chamber should be early needle aspiration or perfusion aspiration so as not to cause secondary glaucoma and reduce the response of the anterior uvea. If the merger of the corneal wound, we do not advocate simultaneous wound repair. Easy to make the original wound suction cortex, because of the injuries was not yet completely cloudy crystal fiber, even if the suction part of a large number of cortex remained in the eye, can not avoid later surgery, and drawing cortex wound embedded clip the lens capsule, vitreous and other organizations. Affect wound healing. Likely to cause adhesions of the vitreous and corneal wound. @ If the former capsule break is small, prominent cortical few, operation time can be determined according to the reaction of crystal expansion anterior uvea, the crystal expansion in the anterior, could easily lead to angle closure, secondary glaucoma, so the anterior chamber line + should be early surgery. ③ If the anterior lens capsule after an injury quickly closed. The crystals showed the limitations of turbidity. A certain visual acuity and anterior uvea reaction can be observed, be crystal stick muddy after surgery. ④ contusion caused by children with traumatic cataract + after a period of time can absorb. Generally do not rush to surgery, contusion caused by cataract anterior lens capsule often complete + routine capsulotomy. Perfusion pumping Ai surgery or seal-shaped excision. @ Line since cataract surgery combined corneal, scleral wound should be sutured wound, foreign body in the merger ball. First positioning the foreign body from the cataract surgery, concurrent lens foreign bodies together with surgery. The wound has been sutured. Cornea since epilepsy from the inside barrier to the formation of adhesions after the merger Hong Lin adhesion, membrane adhesion small separation of the cut-off capsule needle. Adhesion can not be separated. Microsurgical instruments, a small incision through the cornea, so that the scissors parallel into the anterior chamber to slowly open. The first cut of the first adhesion part of the iris and cornea, and then along the edge of the pupil, curved scissors curved about each one cut to the pupil. So that the membrane-traumatic impaired all the free side cutting edge, gently pull the membranous barrier together with the scissors out of the incision. Surgery action is accurate, do not report the injury surrounding tissue. Good postoperative results. 4. Surgical prognosis: patients estimated by eye trauma type, degree and location of impact, such as ocular contusion is easily complicated by hyphema, iris disarticulation commotio retinae and optic nerve injury. Penetrating eye injury and easy merging of intraocular foreign body, cornea, iris, vitreous and retinal damage, so the prognosis is not only determined by the damage of the crystal itself. Also decided that the severity of the injuries. According to this group of patients treatment results, the combined injury of more steps, the better the prognosis. In particular, retinal damage, corneal wound, avoiding ■ pore region. The prognosis is better, corrected visual acuity of 1.5 to 5 cases are such cases. Children with traumatic cataract surgery is successful only on the one hand still properly postoperative adjuvant therapy and intensive care.