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患者男,42岁.因右眼突出20年,视力障碍3个月,于1994年5月25日就诊.病人于20年前,逐渐出现右眼向前外侧突出,经多方治疗无效,近3个月来,出现右眼视力下降.体格检查:血压16/12kPa,脉搏80次/分,甲状腺无肿大,心率80次/分,律齐.眼部检查:右眼视力0.5,左眼视力1.0.右眼球突出28mm左眼12mm(眶距113mm).右眼向各方活动受限.辅助检查:I测定:3小时、24小时均正常.FT_36.4Pmol/L、FT_412.1Pmol/L,双眼磁共振扫描:轴位T_1像:右侧眼球向前外侧突出,右侧内直肌、外直肌呈棱形增粗,为对侧的3～4倍(图1).冠位T_1像:右侧上、下、内、外直肌均肥大、增粗,其中以下直肌、内直肌、外直肌最明显(图2).
The patient, male, aged 42, had a prominent right eye for 20 years and impaired vision for 3 months, and was admitted on May 25, 1994. The patient developed a prominent lateral protrusion of the right eye 20 years earlier and was ineffective in many ways and nearly 3 Months, there is a decline in right eye vision Physical examination: blood pressure 16 / 12kPa, pulse 80 beats / min, thyroid without swelling, heart rate 80 beats / min, law Qi Eye examination: right eye 0.5, left eye vision 1.0 Right eyeball 28mm Left eye 12mm (orbital distance 113mm) Right eye to all parties limited activity Auxiliary examination: I measured: 3 hours, 24 hours were normal.FT_36.4Pmol / L, FT_412.1Pmol / L, Magnetic resonance imaging of both eyes: axial T_1 image: the right eye protruding forward outside, the right rectus abdominis, outside the rectus prismatic thickening, contralateral 3 to 4 times (Figure 1) Right upper, lower, inner and outer rectus were hypertrophy, thickening, of which the following rectus, medial rectus, lateral rectus most obvious (Figure 2).