History

49 year old woman with Grave's orbitopathy. Bilateral exophthalmos, vertical misalignment of her eyes and double vision were noted since early in the course of the disease. No previous orbital surgery was done.

Surgery

OR #1: (L) Superior rectus recess 10 mm, (R) Inferior rectus recess 8 mm, adjustable

OR #2: (R) Inferior rectus advance 4 mm, (L) Medial rectus recess 4 mm, adjustable

OR #3: (R) Superior rectus recess 5 mm, (L) Superior rectus advance 16 -->10 mm from limbus