| Three Cases of Esotropia after Cosmetic Botulinum Toxin A Use in the Eyelid. |
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Jae Jung Lee, Hye Shin Jeon, Hee Young Choi |
1Department of Ophthalmology, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea. hychoi@pusan.ac.kr
2Biomedical Research Institute, Pusan National University Hospital, Busan, Korea. |
| 미용 목적으로 눈꺼풀에 보툴리눔독소 A 주사 후 발생한 내사시 3예 |
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이재정1⋅전혜신1,2⋅최희영1,2 |
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부산대학교 의학전문대학원 부산대학교병원 안과학교실1, 부산대학교병원 의생명연구원2 |
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| Abstract |
PURPOSE
We report three cases of esotropia after botulinum toxin A injection in the eyelid for esthetic purposes. CASE SUMMARY: Esotropia was observed in three patients presented with diplopia after botulinum toxin A application in the eyelid for esthetic purposes. (Case 1) A 51-year-old woman developed diplopia, mild ptosis and hyperemia in both eyes after periocular cosmetic use of botulinum toxin A 6 weeks before. In the primary position, the angle of esotropia was 10 prism diopters (PD) at distance and 6 PD at near. She had slightly limited abduction and mild ptosis on both eyes. (Case 2) A 50-year-old woman developed diplopia after botulinum toxin A injection in the upper eyelid 15 days prior. In primary position, the angle of esotropia was 18 PD at distance and 12 PD at near. She had slightly limited abduction and mild ptosis in both eyes. (Case 3) A 40-year-old woman was examined with diplopia after botulinum toxin A injection in the crow's feet and lower lid 6 days earlier. In primary position, the angle of esotropia was 30-35 PD at distance and 18 PD at near. She had slightly limited abduction. Prism glasses were prescribed for patients in case 1 and case 3. All three patients were resolved in symptoms of diplopia, gaze limitation and ptosis after 1 or 2 months. CONCLUSIONS: Botulinum toxin A could spread out from the lateral canthus to both lateral rectus muscles and cause a transient paresis of the muscles. This was presented as esotropia and the mild abduction deficits on both eyes. We suggest that patients presenting with diplopia should be asked if they have a history of injection of botulinum toxin A and patients should be fully informed about the complications of botulinum toxin A before injection. |
| Key Words:
Botulinum toxin A;Diplopia;Esotropia |
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