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1 临床资料 患者女,62岁。因右眼球突出3个月入院,全身体格检杏无异常。眼科检查:视力右眼1.0/0.1,左眼1.5/0.3,右眼向前下方突出,突出度右眼16mm,左眼12mm,眶距92mm。右眼球向上,颞上及鼻上方活动障碍,眶压++,上睑迟落征可疑,左眼球活动无障碍。双眼眼前节及眼底检查未见异常。眼压 右眼5.5/5=2.3 kPa,左眼5.5/7=1.63 kPa。Humphy自动视野检查示右眼中心30°视野颞侧及下方看区,左眼生理育点扩大,为8°×10°。B型超声:右眼上直肌、左眼下直肌及内直肌梭形肥大,内回声乏,声衰减少。CT及MRl检查示:右眼球前突,右侧上直肌(厚
A clinical data, female, 62 years old. Due to the right eye ball prominent 3 months admission, physical examination of apricot no abnormalities. Eye examination: visual acuity 1.0 / 0.1, 1.5 / 0.3 left eye, right eye prominent forward and downward, highlight the right eye 16mm, left eye 12mm, orbital distance 92mm. Right eye upward, superior temporal and nasal movement disorders, orbital pressure ++, suspicious of late upper eyelid signs, left eye activity barrier-free. Eyes anterior segment and fundus examination showed no abnormalities. Intraocular pressure Right eye 5.5 / 5 = 2.3 kPa, left eye 5.5 / 7 = 1.63 kPa. Humphy automatic visual field examination showed the right eye center 30 ° temporal and lateral view of the visual area, left eye physiological point of expansion, 8 ° × 10 °. B-mode ultrasound: the right eye upper rectus, left rectus and rectus abdominus spindle hypertrophy, lack of echo, sound attenuation decreased. CT and MRl examination showed: right eye protrusion, right upper rectus (thick