The aim was to investigate changes in ocular ductions in thyroid eye disease (TED) patients undergoing recession in comparison to recession / resection surgery. This was a retrospective study of 119 patients with inclusion of 102 eyes in final analysis. Four surgical groups emerged: 1) horizontal recession, 2) horizontal recession/resection, 3) vertical recession and 4) vertical recession / resection. There was no difference between groups for age, sex, thyroid disease or previous orbital decompression. Surgical options results in improved ocular ductions with no clinically relevant restriction following resection procedures. The findings of this study did not support the concept that resections in TED result in increased restriction of ocular ductions. The authors recommend the use of recession / resection procedures where recession alone would not give the desired result.