患者,男,21岁,藏族牧民。于8岁起左眼逐渐突出,无疼痛史,同年左下睑被牦牛牴伤,一周后伤口自愈,但眼球突出明显。入院前4个月曾患“麻疹”,病愈后,左眼球突出更著,伴视力急剧下降。于1972年5月20日,转本院,自幼生长在牧区,从事畜牧工作,有密切狗、牛、羊接触史。一般情况好,全身无特殊发现,左眼视力0.02,下睑外1/3可见一陈旧性水平条索状斑痕,约1.0×0.2厘米,伴下睑外翻和暴露性睑球结膜充血,肥厚,灰白色脓性分泌物少许。上睑被突出之眼球挤压菲薄,皮肤紫红,静脉明显弯曲怒张。眼球向鼻下眶外突出度为24毫米,外展、外上、外下运动明显受限。颞上眶缘内约核桃大小之肿块一个,质软、有震颤感,活动度小。眼球及屈光质未见明显异常,视乳头高度充血、水肿(+6.00DS),视网膜颞 Patient, male, 21 years old, Tibetan herdsman. At the age of 8, the left eye gradually became prominent with no history of pain. In the same year, the left lower eyelid was injured by yak and wounds were healed one week later, but the eyeballs conspicuously conspicuously. Four months before admission, she had “measles”. After she recovered, her left eyeball protruded more and her eyesight dropped sharply. On May 20, 1972, transferred to the hospital, grew up in the pastoral areas, engaged in animal husbandry, there is close contact with dogs, cattle, sheep history. Generally good, the body without special discovery, visual acuity of the left eye 0.02, the lower eyelid 1/3 can see an old horizontal cord-like scar, about 1.0 × 0.2 cm, with lower eyelid eversion and exposure of the conjunctival hyperemia, hypertrophy , A little gray purulent secretions. Upper eyelid is highlighted by the extrusion of the eye thin, skin purple, veins significantly bent. The eye to the nose under the orbital protrusion of 24 mm, abduction, outside, outside the movement was significantly limited. Temporal orbital rim about the size of a walnut mass, soft, sense of tremor, activity is small. Eye and refractive no significant abnormalities, depending on the height of the hyperemia, edema (+6.00DS), retinal temporal