Figure 1.

(a) Globe mounted on the mannequin head. (b) All four rectus muscles were attached to the desired position, so as to achieve a normal anatomical orientation of rectus muscles. (c) Buckle sutures were passed along the inferior and temporal quadrant. (d) Encirclage sutures were placed in the rest of the quadrants. (e) Buckle is passed along the inferior and temporal quadrant. (f) Encirclage is passed and the sutures are tied along the respective quadrants. (g) Buckle sutures are tied and a final knot is placed. (h and i) End surgery view with perfectly placed buckle and encirclage