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53-year-old African-American male, complained of bulging eyes and dry eyes, secondary to shallow orbits and malar eminence hypoplasia and lower eyelid retraction. He underwent inferolateral and medial wall decompression (inferolateral wall through transconjunctival approach and medial wall via caruncle) with intraconal fat removal, plus transconjunctival lower eyelid retractors lysis and open canthoplasty. A) Preoperative; B) 6 months postoperative photographs (Patient #17 in Table 1).
