例1:女性,32岁,既往高度近视病史。视力:右眼:手动/眼前(-33.00 DS=0.01)。右眼内下斜视,极度内下转位,角膜4/5转入內眦角(图1A),晶状体及眼底无法检查。牵拉试验(+)。B超查:右眼轴长度33.12 mm,巩膜向外上方扩张。临床诊断:右眼高度近视限制性内斜视,右眼高度近视眼底病变。手术设计:右眼Yakoyama外上18mm处结扎,未固定巩膜。术后1天见图1B。 Example 1: Female, 32 years old, with a history of high myopia. Eyesight: Right Eye: Manual / Anterior (-33.00 DS = 0.01). The right eye under the strabismus, the extreme under the transposition, corneal 4/5 into the temples (Figure 1A), the lens and the fundus can not be checked. Pull test (+). B ultrasound: the right axial length of 33.12 mm, sclera outward expansion above. Clinical diagnosis: High myopia of the right eye restriction esotropia, right eye high myopia lesions. Surgical design: right eye Yakoyama ligation 18mm outside, not fixed sclera. See Figure 1B 1 day after surgery.