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男,20岁。生后7个月家人发现他视物歪头,左眼内斜不能外转;4岁时在某医院按“左眼外直肌麻痹”针灸治疗无效。家族中无类似病人。全身检查未见异常。眼部检查:右眼:视力1.0,运动自如,前后节未见异常。左眼:视力0.1,+3.0D、S=0.15,内斜5°(角膜映光法),向上下运动正常,向内运动时睑裂缩小4mm(由正位时9mm变为5mm)、伴眼球后退;左眼不能外转,但此时睑裂开大3mm(由正位的9mm变为12mm),垂直
Male, 20 years old. 7 months after birth, his family found that his visual distortion of the head, the left eye can not be outside the turn outside; at 4 years of age in a hospital by “left lateral rectus paralysis ” acupuncture treatment is invalid. No similar family in the patient. No abnormalities in the whole body examination. Eye examination: the right eye: visual acuity 1.0, exercise freely, no abnormality before and after the festival. Left eye: visual acuity of 0.1, + 3.0D, S = 0.15, oblique 5 ° (corneal reflection method), normal up and down movement, inward movement of the blepharophimosis 4mm (9mm from the anterior position becomes 5mm), with Eyeball back; the left eye can not turn outside, but this time the palpebral fissure open large 3mm (from the anterior 9mm into 12mm), vertical