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患者,男性。因右眼疼痛,流泪,视物不清,复视一个月来我院就诊。检查:视力右眼4.3(0.2)左眼5.0(1.0)。右眼上睑下垂,用力睁眼时提上睑肌无力,右眼睑裂高度为2.0mm,右眼球内、外、上、下各象限活动均受限,外展运动正常。右眼球结膜轻度充血,角膜知觉反应迟钝,KP(-),房闪(-),角膜荧光染色(-)。左眼球各象限运动自如。双眼晶状体可见不均匀点状混浊,双眼底轻度动脉硬化改变,视网膜未见出血、渗出。复像检查:右眼戴红镜,医生位,物象越左,偏离越大。综合检查后诊断:右眼动眼神经麻痹。治疗:氨苄青霉素5.0g加入5％葡萄糖液500ml1/日静点,
Patient, male. Due to right eye pain, tears, blurred vision, diplopia in our hospital for one month. Check: Right eye 4.3 (0.2) Left eye 5.0 (1.0). The right eye ptosis, when forced to open the eyes to mention levator muscle weakness, right eye palpebral fissure height of 2.0mm, the right eye ball inside and outside the upper and lower quadrant activities are limited to normal abduction. Right eye conjunctiva mild hyperemia, corneal unresponsiveness, KP (-), atrial flash (-), corneal fluorescence staining (-). Left quadrant of the eye movement freely. Binocular lens visible uneven spotty opacity, bilateral retinal atherosclerosis mild changes, no bleeding, exudation. Check the complex image: the right eye wearing a red mirror, the doctor bit, the image of the left, the greater deviation. After the diagnosis of comprehensive examination: right eye oculomotor nerve paralysis. Treatment: ampicillin 5.0g 5% glucose solution 500ml1 / day static point,