Two birds, one stone: a surgical approach for third nerve palsy with aberrant regeneration

Tratamento cirúrgico de paralisia de terceiro nervo craniano com regeneração aberrante

ABSTRACT

Aberrant regeneration in third nerve palsies, linking medial rectus contraction to the levator palpebrae muscle, is a great opportunity for surgical planning to address both the ptosis and horizontal deviation in a single procedure. We report a case of severe ptosis associated with exotropia that was successfully corrected with a single horizontal strabismus surgery owing to aberrant regeneration and discuss the basis underlying the surgical planning.

Keywords:
Oculomotor nerve diseases/surgery; Strabismus; Blepharoptosis; Eye movement/physiology; Ophthalmologic sur gical procedure; Nerve regeneration; Human; Case report