Fig. 8. Surgical technique for the Harada-Ito procedure. A, Superior temporal fornix incision through the conjunctiva to expose the superior oblique tendon. B, Anterior fibers of the superior oblique tendon are engaged on a Stevens tenotomy hook. C, Nonabsorbable suture, such as 5-0 braided Dacron, is used to advance and transport the separated fibers in a ‘dog leg’ fashion anteriorly. (Locastro AJ, Kim SJ, Biglan AW: The treatment of cyclodiplopia with the Harada-Ito operation. Am Orthoptic J 42:111–119, 1992.)