先天性眼外肌麻痹是一种少见疾病,国外曾报道称天性内直肌麻痹,国内有报导先天性全动眼神经麻痹和先天性内直肌麻痹,以及先天性上睑下垂合并上直肌麻痹者,而单纯上直肌麻痹者则罕见,今报告一典型病例. 病例报告患者,刘××,女,9岁,出生三月时发现左眼斜视,并逐渐有眼球震颤和斜颈. 查:患儿发育无异常.眼科情况:视力右0.4,左手动眼前,双外眼(一).第一眼位:右眼为正视眼,左眼内斜20°,下斜8-10°,头向右侧倾,左眼单侧族转性 Congenital extraocular muscle paralysis is a rare disease, foreign reports of natural inner rectus muscle paralysis, there are domestic reports of congenital oculomotor palsy and congenital internal rectus palsy, and congenital ptosis and upper rectus abdominis Paralysis, while the simple upper rectus paralysis are rare, this report a typical case.Patients reported cases, Liu × ×, female, 9 years old, born in March found that the left eye strabismus and gradually nystagmus and torticollis. Check: no abnormalities in children with development .Ophthalmology: visual acuity of about 0.4, left hand before the eyes, double outside the eyes (a) .The first position: the right eye is the eyelid, the left eye oblique within 20 °, down oblique 8-10 ° , Head tilted to the right, left eye unilateral race