I've seen this too, but I knew the problem.
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Let's say you're kiting backwards while autoattacking and you want to throw a quick Q; you mouse over the opponent, tap Q, let go, then right click behind yourself to move backwards. Even though you completed the "casting" with your Q aimed precisely at the enemy, your Q will end up firing backwards and miss. What's up with that? Does this mean I simply can't use a Varus Q while kiting backwards?