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AIM: To investigate the effect of improved irrigation for hyphema in the treatment of severe contusion hyphema.<p>METHODS: Totally 106 patients with severe contusion hyphema underwent viscoelastican and irrigation for hyphema through tunnel incision with urokinas. <p>RESULTS: The hyphema was clear in all patients but 2 cases were rebleeding. The surgery method was superior to the conventional operation in the aspects of vision, intra-ocular pressure and complication.<p>CONCLUSION:Improved irrigation for hyphema could be extended, the operating methods is simple, safe and effective.