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Schematic of globe herniation (white arrow) between the superior rectus and lateral rectus from high myopia. A portion of the superior rectus and inferior rectus contractile force is converted to adduction and a portion of the lateral rectus and medial rectus force is converted to infraduction, resulting in esotropia and hypotropia with an impaired range of ductions. MR = Medial rectus, SR = Superior rectus, LR = Lateral rectus, IR = Inferior rectus
