全身性淀粉样变性常累及眼部,但局限于眼眶者非常少见,文献仅见15例报道。本文报告1例,其病变仅累及眼外肌,文献尚未见过报道。病例报告:患者女性,60岁,主诉当快速向一侧注视时出现复视已10年。1984年就诊时发现右眼外斜,Lees屏显示右眼运动受限,尤以内收较著,系内直肌肌力减弱所致。此外,左眼外直肌功能亢进。右眼强迫转动试验显示内收、外展均有极大阻力。患者视力正常,并有轻度远视(双眼均为+0.50D)。眼底及视野均正常。CT扫描显示脑部图象正常,右眼眶显示内直肌呈梭 Systemic amyloidosis often affects the eye, but is limited to the orbital person is very rare, the literature only 15 cases reported. This article reports 1 case, the lesion only affects the extraocular muscles, the literature has not been reported. Case Report: Patient Female, 60 years old, complained of double vision for 10 years when fast gaze to one side. 1984 saw the right eye outside diagonal, Lees screen shows limited movement of the right eye, especially adduction, Department of rectus muscle weakness due to. In addition, left lateral rectus abscess function. Right eye forced rotation test showed adduction, abduction have great resistance. Patients with normal vision, and mild hyperopia (both eyes are + 0.50D). Fundus and vision are normal. CT scan showed normal brain images, right eye orbital rectus showed shuttle