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A patient with thyroid eye disease (TED) and hypotropia. He had 20-prism diopter (PD) left hypotropia in primary position, 35 PD in up-gaze, and 16 PD in down-gaze (a-c). After a 5 mm recession of left inferior rectus (IR), he was orthotropic in primary position and down-gaze (d-f)
