Treatment of Ptosis as a Complication of Botulinum Toxin Injection
Article first published online: 17 MAR 2005
DOI: 10.1111/j.1526-4637.2005.05029.x
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How to Cite
Omoigui, S. and Irene, S. (2005), Treatment of Ptosis as a Complication of Botulinum Toxin Injection. Pain Medicine, 6: 149–151. doi: 10.1111/j.1526-4637.2005.05029.x
Publication History
- Issue published online: 17 MAR 2005
- Article first published online: 17 MAR 2005
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Keywords:
- Botulinum Toxin;
- Ptosis;
- Migraine;
- Apraclonidine
ABSTRACT
In this case report, we present one of the complications of botulinum toxin injection. Botulinum toxin injection could be used in the treatment of migraine headaches and this use could be complicated by ptosis. Botulinum toxin type A was injected into the frontalis, orbicularis oculi, corrugator supercillis, and temporalis muscles bilateral, as well as into the procerus muscle, in a patient with chronic migraine headache. Three days later the patient developed ptosis, conjunctival injection and pain initially in one eye, later involving both eyes. This complication was successfully treated after 9 days of instilling apraclonidine 0.5% ophthalmic solution and dexamethasone 0.1%/tobramycin 0.3% ophthalmic suspension into both eyes.

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