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Schematic of excyclorotation of the right orbit from a craniosynostosis syndrome shows each extraocular muscle displaced counterclockwise from its normal location with respect to the center of the globe. The abnormal pulling directions for the rectus muscles can create primary gaze misalignments and simulate oblique muscle dysfunction. MR = Medial rectus, SR = Superior rectus, LR = Lateral rectus, IR = Inferior rectus
