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Arch Ophthalmol. 2002;120:663-665.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

Primary aberrant regeneration or oculomotor nerve synkinesis is a rare condition in which cranial nerve III regeneration occurs without a preceding, acute palsy. It has been typically associated with aneurysms or meningiomas in the cavernous sinus that do not warrant urgent imaging.¹ We describe a patient with primary aberrant regeneration caused by an aneurysm located at the junction of the left posterior communicating (PCOM) and posterior cerebral arteries, indicating that imaging should not be delayed.

Report of a Case

A 65-year-old woman complained of right eyelid ptosis for 3 years. She denied diplopia. Her medical history was unremarkable. Her visual acuity was 20/25 OD and 20/20 OS. The eyelid margin to corneal reflex distance measured 2 mm OD and 4 mm OS. Her right pupil was 4 mm and reacted briskly to light. Her left pupil was 5 mm and did not react to light. No relative afferent pupillary defect was observed.

The patient . . . [Full Text of this Article]

Comment

Corresponding author and reprints: Peter J. Savino, MD, Wills Eye Hospital, 900 Walnut St, Philadelphia, PA 19107.

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