内分泌性突眼是引起成人眼球运动障碍的一个常见原因,本文的病例报告表明高度近视眼可出现与之相同的临床表现。病例报告:患者,女,45岁,8年前出现双眼垂直性复视,5年前曾行左下斜肌切除,但复视症状无明显改善。否认有高血压,糖尿病及甲元病史。检查:患者体形稍胖,双眼睑轻度浮肿,甲状腺不肿大。双眼屈光度是,右:-28.00=+2.5×125,左-28.00=+0.75×165°。角膜接触镜矫正视力右为20/50,左为20/40,双眼前节正常,眼底见视神经斜入,乳头周围脱色素,视网膜色素退化等高度近视眼改变。压平眼压测量,右眼压 Endocrine exophthalmos is a common cause of eye movement disorders in adults. The case reports in this article indicate that the same clinical manifestations may occur in highly myopic eyes. Case report: The patient, female, 45 years old, showed binocular vertical diplopia 8 years ago. She had a left lower oblique muscle resection five years ago but no obvious improvement in diplopia. Denied having a history of hypertension, diabetes and a dollar. Check: Patient slightly fat, mild eyelid edema, thyroid enlargement. Binocular diopter is, right: -28.00 = + 2.5 × 125, left -28.00 = + 0.75 × 165 °. Corneal contact lens correction of visual acuity right 20/50, left 20/40, normal anterior segment of the eye, the optic nerve oblique retinal see, around the nipple pigment, retinal pigment degeneration and other high myopia changes. Flatten pressure measurement, right eye pressure