This patient presented, after five surgeries with an outside doctor, for thyroid eye disease. However, he still had severe eye prominence, eye redness, orbital pain, double vision and cannot enjoy outdoor activities. The previous surgeries unfortunately caused substantial scarring and eyelid paralysis. Dr. Douglas performed a customized decompression followed by strabismus surgery and eyelid reconstruction. He is now able to enjoy his activities and achieved a 5mm reduction in proptosis.