Abstract
It is commonly acknowledged that surgery for correction of strabismus associated with third nerve palsy can be very challenging for an ophthalmologist. Understanding the difficulties, we present modified Nishida, an innovative approach to tackle third nerve palsy. The exotropia with hypotropia in an 8-year-old child with RE congenital third nerve palsy was corrected by a single-staged surgery – LR recession + MR plication + modified Nishida, followed by correction of severe ptosis with frontalis sling surgery 2 months after squint surgery. This innovative, simple, and effective technique with no anterior segment ischemia, giving adequate alignment and good stereopsis, is worth bearing in mind while tackling third nerve palsy.
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