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单眼的上直肌和下斜肌同时麻痹称为单眼双上转肌麻痹。本病较少见。现报告3例。例1 张×女22岁自幼左眼睑裂小,左眼向下斜,于1987年7月28日就诊。体格检查未见异常。双眼视力均1.2。右眼正常。左眼上睑下垂,上睑缘与角膜中央相平。左上睑提上运动功能正常。左屈光间质及眼底均正常。右眼注视右/左25°(角膜映光法)。右眼各方向运动正常,左眼向外上、正上、内上方向运动完全不能。左眼作注视时,左上睑下垂消失,眼位右/左35°。同视机检查为垂直异常视网膜对应。诊断:左上转肌麻痹。入院治疗。术前作左眼被动转眼试验,无下直肌牵引限制。主动收缩试
Monocular upper rectus and inferior oblique muscle at the same time paralyzed as monocular double supra-muscular paralysis. The disease is rare. Now report 3 cases. Example 1 Zhang × female 22-year-old left eye palpebral fissure small, left eye down, July 28, 1987 treatment. Physical examination no abnormalities. Binocular vision are 1.2. Right eye is normal. Left eye ptosis, upper eyelid and central corneal phase. Left upper eyelid lifting exercise function is normal. Left refraction and fundus are normal. Right eye to watch right / left 25 ° (corneal reflection method). Right eye movement in all directions normal left eye outward, right, upward movement can not. Left eye for attention, the left upper eyelid sag disappeared, right / left eye 35 °. The same as the vertical inspection of the retina corresponding to the retina. Diagnosis: paralysis of the left upper body. Admission treatment. Preoperative left eye passive eye test, no lower rectus traction restrictions. Active contraction test