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本文报道先天性全第三颅神经麻痹及先天性单侧全眼肌麻痹各一例。1 病例介绍 例1,男,19岁。1983年11月住院。出生后便发现双眼眼位不正,外斜,不能转动,不能正面注视前方物体;左眼视力极差。兄妹五人中有三人患有同样疾病(见附图),外祖父母为三级亲结婚。眼部检查:视力右0.3,左眼前手动。双上睑下垂,右睑裂高度6mm,左睑裂高度4mm。睑裂长度26mm,瞳距76mm。双眼外斜均在50°以上。眼球各方向活动均受限,仅有轻微的外展运动。左眼球水平震颤,快相向外。双角膜大小正常,透明,前房深浅无异常;右虹膜纹理清,左虹膜纹理不清。
This article reports a case of congenital third cranial nerve palsy and congenital unilateral all-eye paralysis. A case introduction example 1, male, 19 years old. November 1983 hospitalization. After birth they found that the binocular eye position is not correct, outside the oblique, can not rotate, can not be positive in front of the object; left eye poor visual acuity. Three of the five siblings have the same disease (see the photo), and the third grandparent is married. Eye examination: right eye 0.3, manual left eye. Double ptosis, right palpebral fissure height 6mm, left palpebral fissure height 4mm. Palpebral fissure length 26mm, IPD 76mm. Outer oblique eyes are more than 50 °. Eye movement in all directions are limited, only a slight outreach exercise. The left eye level tremor, fast phase out. Corneal double normal size, transparent, no abnormalities anterior chamber depth; right iris texture clear, unclear iris texture.