Simultaneous correction of blepharoptosis and exotropia in aberrant regeneration of the oculomotor nerve by strabismus surgery: A new, simplified ptosis correction for selected cases

Selected patients with blepharoptosis and exotropia with aberrant regeneration of the oculomotor nerve can achieve acceptable cosmesis by simple strabismus surgery. Patients with good lid position on attempted contralateral gaze are candidates for this new approach. With aberrant regeneration of the oculomotor nerve, the affected levator frequently becomes pathologically yoked to the contralateral lateral rectus muscle. In these cases, the exotropia is corrected by a recess-resect procedure primarily or exclusively on the contralateral fixing eye such that postoperatively, the fixing eye is 'abducted' by the patient to the primary position, and the ptotic lid elevates simultaneously.