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idering original investigations alone, there has been a significant increase in women first and senior authorship in both OPRS and Orbit. To describe the use of a lateral wall implant as an adjunct in lateral orbital wall decompression in severe thyroid eye disease. This study is a retrospective review of 6 patients who underwent prior orbital decompression but had persistent proptosis. These patients underwent lateral wall decompression with adjunct lateral wall implant placement with a manually vaulted 0.6-mm polyethylene-coated titani