Fig. 2. Dissociated strabismus complex. (A) While the patient maintains a rightward head tilt, DSC is well controlled. (B) Forced leftward head tilt produces a manifest left DVD. (C) When the patient is fixating with the right eye, a left DVD is manifest. (D) On fixation with the left eye, a right DHD is manifest. Mild DVD also was present. After recession of both superior rectus muscles and the right lateral rectus muscle, the DSC is well controlled. A small leftward head tilt is present.