患儿,女,10岁,于1993年7月因感冒后出现头部钝痛,疼痛不放射,无明显时间性,伴鼻塞,流脓涕,发热。一个月后出现复视,在当地医院行抗炎治疗,具体用药量不详,疗效不佳,于9月19日来我院就诊。检查:体温正常,OU1.2,双外眼正常,眼位OP~(R/n)5°。交替遮盖,OD由外上→内下,OS由外下→内上。单眼遮盖与打开,OS注视,OD~(R/L)5°;OD注视,OS~(R/L)10°。眼球运动。右眼下直肌显弱,左眼上斜肌呈强。外鼻无畸形,右上颌窦区有压痛,双侧鼻腔粘膜充血, Children, women, 10 years old, in July 1993 due to headache dull after a cold, pain is not radiating, no obvious timeliness, with nasal congestion, runny nose, fever. One month after diplopia, anti-inflammatory treatment in the local hospital, the specific amount of medication is unknown, poor efficacy, to our hospital on September 19. Check: normal body temperature, OU1.2, normal outside the two eyes, eye OP ~ (R / n) 5 °. Alternately covered, OD from outside to inside, OS from outside to inside. Eyes covered and open, OS gaze, OD ~ (R / L) 5 °; OD gaze, OS ~ (R / L) 10 °. Eye movement. The right eye was weak under the rectus muscle, left eye on the oblique was strong. Nasal deformity, right maxillary sinus area tenderness, bilateral nasal mucosal congestion,