眼外肌受累是甲状腺相关性眼病的特征 ,常累及下直肌和内直肌 ,导致限制性眼肌病 ,引起第一眼位和向上注视时眼压升高。曾有报道注射肉毒杆菌毒素A治疗限制性眼外肌病可提高患者眼球活动度、减轻复视、降低眼外肌的牵拉作用 ,但未见有研究注射肉毒杆菌毒素A影响眼压的报道。该 Extraocular muscle involvement is a characteristic of thyroid-associated ophthalmopathy, often involving the lower rectus and medial rectus, which results in restrictive ophthalmopathy that causes elevated intraocular pressure in the first eye and upward gaze. It has been reported that the injection of botulinum toxin A in the treatment of restrictive extraocular myopathy can improve the patient’s eyeball motion, reduce diplopia, reduce the extraocular muscle stretch, but no study of botulinum toxin A injection of intraocular pressure Report. This