Fig. 11. A. Traction on the superior rectus muscle with the large muscle hook is applied to depress the globe. B. A Stevens hook held in the other hand is used to expose the superior rectus insertion by reflecting the intermuscular septum, Tenon's capsule, and conjunctiva over the toe of the hook. (Del Monte MA, Archer SM: Atlas of Pediatric Ophthalmology and Strabismus Surgery. New York: Churchill Livingstone, 1993)