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1 临床资料 患者,男,32岁,工人。主诉自幼右眼上斜视,无头痛、恶心、呕吐;无高热史;无复视。检查:视力为右0.7-1.0D.S.→1.5,左0.4-8.0D.S.→1.5。有代偿头位,头向左侧倾斜,面转向右。左眼固视时,右眼内斜22°,上斜18°。右眼固视时,左眼内斜18°,下斜20°。眼球向各方向转动均不受限。右眼遮盖红玻璃试验无复像。入院诊断:右眼先天性上斜肌麻痹。于1989年7月27日施行右眼下斜肌后徒术,术后左眼固视时,右眼仍上斜5°,内斜10°。于同年8月10日施行左眼下直肌后徙术,垂直性斜视度为0,内
1 clinical data patients, male, 32 years old, workers. The main complaint from the right eye on his strabismus, no headache, nausea, vomiting; no fever history; no diplopia. Check: visual acuity for the right 0.7-1.0D.S. → 1.5, left 0.4-8.0D.S. → 1.5. Compensate the first bit, head tilted to the left, face turned to the right. Left eye fixation, the right eye oblique 22 °, oblique 18 °. Right eye fixation, the left eye oblique within 18 °, down 20 °. Eye rotation in all directions are not limited. Right eye cover red glass test no complex image. Admission diagnosis: right eye congenital oblique upper oblique paralysis. In July 27, 1989 implementation of the right eye inferior oblique muscle surgery, postoperative left eye fixation, the right eye is still inclined 5 °, oblique 10 °. In the same year on August 10 the implementation of the left eye rectus after rectal surgery, vertical strabismus of 0, within