目的:报告1例全鼻窦炎患者中上直肌牵连情况。方法:病例报告。结果:患者,男,43岁,诉持续性复视1mo,检查示:右侧上直肌和下直肌麻痹,上直肌活动受限。CT检查:鼻窦周围上直肌增厚。筛窦穿刺或上直肌缩短可减轻复视症状。结论:全鼻窦炎可以影响眼外肌活动。行穿刺手术后斜视矫正手术可以减轻复视症状。

·AIM:To report the involvement of extraocular muscles in a patient with pansinusitis.METHODS:A case report.RESULTS:A 43 years old man presented to eye clinic with a history of diplopia for a month.Ocular examination revealed right sided superior oblique and inferior rectus palsy or superior rectus restriction.Investigation with CT however revealed superior rectus thickening with surrounding pansinusitis.Drainage of ethmoid sinus and superior rectus recession was done to relieve the diplopia.CONCLUSION:Pansinusitis may involve extraocular muscles.Squint surgery may be required to relieve residual diplopia following surgical drainage.

R765