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. Author manuscript; available in PMC: 2014 Aug 25.
Published in final edited form as: J AAPOS. 2012 Aug;16(4):331–335. doi: 10.1016/j.jaapos.2012.02.015

FIG 1.

FIG 1

Augmented Hummelsheim procedure. A, small muscle hooks separate the nasal and temporal halves of the vertical rectus muscles, preserving the nasal ciliary vessels. B, a 6-0 polyglactin 910 suture is placed 4 mm posterior to the insertion of the vertical rectus muscle and a 4mmresection of the temporal half of the muscle is performed. C, the temporal halves of superior and inferior rectus muscles are sutured adjacent to the corresponding borders of the lateral rectus muscle along the spiral of Tillaux.