In simple cases, a peribulbar or retrobulbar block may avert this, however, in cases of long-term strabismus where the root cause is a muscle contracture, an extra mile is deemed necessary. Bridling the superior rectus is a time tested technique used for cataract and glaucoma surgeries [3, 4], which is even now resorted in difficult situations. Similarly, bridling the horizontal rectus may be adopted to centre the eyeball in cases with contractured horizontal recti (Fig. 2b).

The possible complications of this technique include bleeding, subconjunctival haemorrhage, soft tissue bridling, muscle haematoma, muscle damage and scleral perforation. However, given the familiarity and ease of this age-old technique, their chances are meagre. Also, being a one-time transconjunctival technique, the risk of overt bleeding is minimal.

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