Fig. 1

Adjustable suture techniques for the recessed muscle and the resected muscle. A The lateral rectus muscle on the right eye was recessed using hang back technique and was secured to the scleral insertion by a single loop bow-tie. B The resected medial rectus muscle on the right eye was suspended 2 mm posterior to the insertion site and was secured using a single loop bow-tie suture. This provided the space for advancing during the adjustment procedure if needed. In both surgeries, a bolster suture below the bow-tie suture and a traction suture near the insertion site were made