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1982年我们曾将一先天性左下直肌缺损症合并左内直肌附着点向下方移位的病例,术前误诊为左下直肌麻痹。现报告如下: 孙×,女,29岁,住院号19893。于1982年11月16日入院。主诉5岁患眼病后,发现左眼向上偏斜。伴左眼视力下降,在此之前家人未注意患者眼位情况。24年来斜视恒定于左眼,无间歇,无复视。4年前突然出现头痛、头晕、双眼胀痛,未经诊治。患者1岁时曾从床上跌下,头部碰一凹陷,数月后自愈平复;3岁有抽风史,5岁患眼病(病情不详)。家族中无类似眼病史。眼部检查:视力右1.5,左0.2(不能矫正)。眼睑、泪器、结膜、巩膜正常;虹膜纹理清;瞳孔圆,大小正常,对光反应存在;屈光间质无混浊,
In 1982 we have a congenital left lower rectus abdominis defect with left medial rectus muscle attachment point down shift cases, preoperative misdiagnosis of the left lower rectus muscle paralysis. Now report as follows: Sun ×, female, 29 years old, hospital number 19893. Admitted to hospital on November 16, 1982. 5-year-old complained of eye disease, I found the left eye upward bias. With left eye vision decreased, before the family did not pay attention to the patient’s eye position. Strabismus constant in the left eye for 24 years, no intermittent, no diplopia. Suddenly 4 years ago, headache, dizziness, binge pain, without treatment. Patient 1 years old had fallen from the bed, touching the head depression, a few months after healing; 3-year-old history of inhalation, 5-year-old suffering from eye disease (the disease is unknown). No similar family history of eye disease. Eye examination: visual acuity 1.5, left 0.2 (can not be corrected). Eyelid, lacrimal, conjunctiva, sclera normal; clear iris texture; pupil circle, the size of the normal, the presence of light reaction; refractive interstitial turbid,