The clinical findings, role of imaging, surgical techniques and results are described for three patients who presented with flap tears of the inferior or medial rectus muscles. Two were due to trauma (inferior rectus) and one due to surgery (medial rectus). Imaging helped to identify the position of the recessed flap. This was advanced in two inferior rectus cases. The flap was not advanced for the medial rectus case because of severe adhesion and a medial wall defect. A medial Nishida procedure was undertaken instead.