Ophthalmic trauma is a common eye disease that seriously damages vision. We are now discussing the causes and guiding countermeasures for several common psychological problems of patients with ocular trauma. Li Qiuming, Ophthalmology Center of the First Affiliated Hospital of Zhengzhou University (a) Fluke and paralysis after injury If the pain after ocular trauma is mild or the visual impairment is not obvious, the patient thinks the injury is not serious and neglects timely treatment, leading to serious consequences such as endophthalmitis. There are many patients who come to our hospital with intraocular infections resulting in loss of vision or removal of the eyeball. The main reason for this mentality is the lack of medical knowledge and the perception of ocular trauma as a general trauma to the body surface. Unfortunately, this mentality also exists in some primary care hospitals, where patients are blindly kept in primary care hospitals without a comprehensive analysis of the injury and its consequences, and are only transferred to other hospitals when their condition deteriorates, which delays the treatment and causes serious consequences. Avoiding the above-mentioned situation mainly depends on strengthening the publicity of ocular trauma health knowledge, so as to realize that ocular trauma is different from general trauma, and that light trauma can lead to blindness if infection occurs without timely treatment. This concept should first be established among the medical and nursing staff of primary hospitals, and they should promote it to the first-time ocular trauma patients. (2) Unrealistic expectations of modern medical technology Modern medical technology has developed to be able to treat some serious ocular trauma, and surgery such as corneal transplantation, IOL implantation and vitrectomy can restore sight or even good vision to many ocular trauma and diseases that were untreatable in the past, but there is no ideal treatment for more serious retinal and optic nerve damage. Due to the lack of medical knowledge, some patients have unrealistic expectations of modern medical technology, which are manifested in two aspects: First, the installation of prosthetic eyes and corneal transplants after eye removal is misunderstood as “eye replacement”, thinking that even if the eye is broken, it can be replaced with another one when there is money. This mentality makes some patients not to go to a hospital in time after the injury, resulting in the deterioration of the condition. In fact, although corneal transplantation, IOL implantation and vitrectomy are in a sense equivalent to transplantation and replacement of individual parts of the eye, transplantation of the entire eye and replacement of a seeing eye is still only a good wish. Secondly, they do not understand their own condition and blindly ask for some kind of treatment. For example, some patients have serious damage to the retina or optic nerve leading to blindness, and then attempt to restore vision treatment is just a meaningless waste, but patients will repeatedly ask for such surgery after seeing other patients who have recovered their vision after implanting an IOL, and after injecting silicone oil to reset the retinal detachment, thinking that they can restore their vision by spending a few thousand dollars more. It would be irresponsible for the medical staff to comply with the patient’s request. To address this mentality of the patient, we should explain to him the extent of modern medicine with easy-to-understand language and metaphors, so that he understands that the current medical technology cannot treat the disease yet, not that the hospital is unwilling to cure him. (iii) Misconceptions about surgical anesthesia Most ocular trauma surgeries in adults or older children are performed under local anesthesia, sometimes for a longer period of time, and it is common to experience slight discomfort and pain during surgery. Most patients with ocular trauma are suddenly injured, lacking the wear and tear of a long illness, and wish to complete the surgery without any pain. Some patients are also nervous or petulant and feel particularly sensitive, calling out loudly and moving around during surgery with the slightest discomfort. In fact, most of the sensations are caused by the eyelids touching the surgical instruments without being anesthetized, not real pain. Patience and guidance should be given to the patient so that he or she can tolerate the procedure and cooperate well. After the patient is admitted to the hospital or during the preoperative conversation, he or she should talk about the possible mild discomfort and pain during surgery to prepare the mind and eliminate fear. We should also try to improve the effect of anesthesia, improve the equipment, improve the technology, shorten the operation time to reduce the patient’s pain, and truly realize the painless treatment. (4) Fear of intraocular foreign bodies Some tiny intraocular glass foreign bodies and intraorbital steam gun foreign bodies, such as no serious complications and the patient’s vision is good, the surgical damage of removing these foreign bodies is more harmful than the foreign body itself, sometimes leading to vision loss or loss, and other complications, in dealing with such foreign bodies, weighing the pros and cons sometimes do not advocate the removal at the time and take the method of close observation In the management of such foreign bodies, the trade-off is sometimes not to remove them at the time but to observe them closely. However, many patients are particularly sensitive to intraocular or intraorbital foreign bodies and have a fear of them. Even if they do not have any symptoms, they always feel psychologically insecure and repeatedly ask to have the foreign body removed, or even propose to remove the foreign body at the cost of blindness or removal of the eye. At this time can not arbitrarily agree to the patient’s irrational request, should patiently explain the process of removing this foreign body surgery and the possible consequences, and cite both positive and negative specific cases, so that they understand the stakes after the attention will be diverted to other aspects. (E) a blind eye after the pessimistic disappointment psychology eye trauma on the visual impairment is serious, sometimes even blind, the good thing is that most eye trauma is a one-eye injury, does not lead to the patient disability, but some patients in a blind eye think is disabled, the future career shows a pessimistic disappointment psychology. At this time, medical staff should educate the patient that the significance of one eye blindness and the loss of one hand or one leg is different, one eye blindness, except for individual work requiring binocular vision, has little impact on life and general work, and can also make achievements, so that the patient can revive their spirits and put their energy into work and study. In addition to the above, patients with ocular trauma may have many other psychological problems, such as pain and anxiety after being blind in both eyes, and the psychology of “light and heavy” after a public injury or an injury caused by someone else, etc. Further analysis is needed. Although ocular trauma is a disease mainly treated by surgery, various psychological problems of patients have an important impact on the treatment outcome. A correct understanding of the psychological problems that may occur in various periods of ocular trauma patients and their timely resolution will help to obtain better treatment results.