病历报告患者王××女 21岁蒙族现住科右前旗住院号168840主诉:左眼球逐渐突出6年,视力障碍2年。检查:右眼视力1.2。左眼光感,光定位不确,眼压Tn,眼球向前下方突出,突出度右15mm左28mm。平视时,上睑缘距角膜上缘约3mm,睑裂闭合不全4mm,眼球不能向上转动,向内、外、下转轻度受限,沿眶上缘于眼球上方可触及一包块(约3×4cm),表面光滑,呈囊泡感,稍活动,无压痛,与骨壁粘连不明显。有 Patient Report Wang × × female 21-year-old Mongolian right to live front right hospital number 168840 Chief complaint: the left eye gradually prominent 6 years, visual impairment for 2 years. Check: Right eye sight 1.2. Light perception of the left eye, light positioning is not accurate, intraocular pressure Tn, prominence prominent under the eyeball, highlight the right 15mm left 28mm. Flat top view, the upper eyelid from the corneal top edge of about 3mm, blepharophimosis imperfecta 4mm, the eye can not rotate upwards, inward, outward, lightly limited, along the supraorbital margin above the eye can reach a pack (about 3 × 4cm), smooth surface, a sense of Vesicular, a little activity, no tenderness, and the bone adhesion is not obvious. Have