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He had been diagnosed with type II Duane retraction syndrome (DRS) when you look at the left eye and planned for horizontal rectus recession of both eyes. Postoperatively, the in-patient was orthotropic at distance and near in primary gaze with settled face turn and improvement of restriction of adduction to -2, but some limitation of abduction -1 within the left eye had been seen. Herein, we talk about the clinical features, etiologies, tailored assessment, and management