The alternative technique of muscle weakening, the hang-back technique, is accomplished by starting with a limbal conjunctival incision, exposure, hooking, and dissection of the muscle from the check ligaments, muscle dissection from the intermuscular septa, taking a central locking knot in the muscle bulk near the insertion,andtwolockingsuturesatthetwoedges,and thentheinsertiontendoniscut.Thistechniquehas the advantage of...

For the hang-back technique, a central locking bite is made first, followed by the procedure described above. The muscle is disinserted from the globe by placing traction on the muscle hook and the sutures to keep them away from the insertion. Westcott scissors are then used to disinsert the muscle from the sclera.