Aim: To evaluate and consider alternative surgical technique for huge horizontal strabismus of more than fifty-five prism dioptre (55>PDs) and to prove that the muscles spontaneously reattach without suture after surgery. Methods and Material: A retrospective case-series on 40 cases at different hospitals. Non-suture Myectomy surgery was done in both eyes under local anaesthesia for adults. Out of 40 documented cases, 36 were primary strabismus patients (Exotropia-Esotropia) and only 4 secondary cases were re-operated. All patients were evaluated after surgery clinically and with CT images and examined, follow ups are made for every six months up to three years.
