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患者男,27岁,1982—01—20左眼被扁担钩击伤后视物双影,有明显的代偿头位:头向右肩倾,面向右转,下颌内收。眼位:角膜映光左/右15°,眼球向下注视左/右15°,左下斜肌过强。同视机检查:右眼注视:正中左/右14(1/2)°外旋12°,左下角左/右13(1/2)°外旋16°,右下角左/右20°,左眼注视:正中—2°左/右17°外旋12°,左下角左/右17°外旋16°。右下角左/右25°。左下角外旋明显,右下角垂直明显,提示左眼上斜肌麻痹。1990—12—20在局麻下行左眼上斜肌前部前徒术和上直肌后退术。手术方法:左眼上直肌颞侧进入,将上直肌向鼻侧牵引,暴露上斜肌,在上斜肌前1/2处套环缝线2条,线前剪断上斜肌,沿
Patient male, 27 years old, 1982-01-20 The left eye was double hooked by the hook after the hook was injured. Obvious head of compensation: head to the right shoulder tilt, turn right, mandibular adduction. Eye position: corneal left / right 15 °, eyeball down left / right 15 °, left lower oblique muscle too strong. The same as the machine check: the right eye to watch: the middle left / right 14 (1/2) ° external rotation 12 ° left lower left / right 13 (1/2) ° external rotation 16 ° left / right 20 ° lower right corner, Left eye fixation: center -2 ° left / right 17 ° external rotation 12 ° left / right 17 ° external rotation 16 °. Right / left corner 25 °. The lower left corner of the external rotation significantly lower right vertical obvious, suggesting that the left eye upper oblique muscle paralysis. 1990-12-20 In the local anesthesia down the left anterior oblique anterior surgery and rectus superior rectus. Surgical methods: left temporal rectus into the temporal, the upper rectus traction to the nasal, upper oblique exposure, in the upper oblique 1/2 suture loop suture line before the upper oblique cut, along the