In the present report, cyclic oculomotor spasm occurring in a patient with third nerve paresis is described, which is a rare occurrence. An 11 year old female presented with decreased vision of the right eye and drooping of the right upper lid since early childhood. Third nerve paresis was seen with limited adduction and elevation. During examination the right exotropic eye became esotropic, over which the patient had no voluntary control. After orthoptic assessment, right superior oblique resection and transposition close to the medial rectus, with a large lateral rectus recession was done.