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  Indian J Med Microbiol
 

Figure 1: (a) Left eye esotropia with hypotropia in the primary gaze. (b) On attempted upgaze, there is a perverted convergence. (c) Intra-operative tight muscle following the placement of muscle hooks (Narrow distance between the hooks). (d) Intra operative pulled into two (The sudden give away which was felt, has been indicated by the increased distance between the muscle hooks). (e) On a postoperative day one after the second surgery, there was a significant improvement in hypotropia and esotropia

Figure 1: (a) Left eye esotropia with hypotropia in the primary gaze. (b) On attempted upgaze, there is a perverted convergence. (c) Intra-operative tight muscle following the placement of muscle hooks (Narrow distance between the hooks). (d) Intra operative pulled into two (The sudden give away which was felt, has been indicated by the increased distance between the muscle hooks). (e) On a postoperative day one after the second surgery, there was a significant improvement in hypotropia and esotropia