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

## TL;DR

This paper presents a surgical technique that corrects two eye issues at once in patients with third nerve palsy.

## Contribution

The novel contribution is a single surgical approach addressing both ptosis and exotropia due to aberrant regeneration.

## Key findings

- A case of severe ptosis and exotropia was successfully corrected with one surgery.
- Aberrant regeneration allowed for combined treatment of ptosis and horizontal deviation.

## 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.