J Korean Ophthalmol Soc > Volume 54(2); 2013 > Article
Journal of the Korean Ophthalmological Society 2013;54(2):387-390.
DOI: https://doi.org/10.3341/jkos.2013.54.2.387    Published online February 28, 2013.
Temporary Accommodation Difficulties after Botulinum Toxin Type B Injection for the Treatment of Hyperhidrosis.
Hye Jin Lee, Sun Ho Lee, Jin Ho Jeong
Department of Ophthalmology, Jeju National University School of Medicine, Jeju, Korea. amario@naver.com
다한증 치료로 B형 보툴리눔 독소 피하주사 후 발생한 일과성 조절장애 1예
이혜진⋅이선호⋅정진호
Department of Ophthalmology, Jeju National University School of Medicine, Jeju, Korea
Abstract
PURPOSE
To report a case of temporary accommodation difficulties after botulinum toxin injections for the treatment of palmar and plantar hyperhidrosis. CASE SUMMARY: A 27-year-old woman presented with difficulties performing near work that had begun 1 week prior. She underwent injections of botulinum toxin type B (Myobloc(R)) for the treatment of both palmar and plantar hyperhidrosis 3 weeks earlier. The patient had subdermal injections of 3000 MU (mouse unit) of Myobloc(R) on each palm and sole. On manifest refraction, the patient was emmetropic. Near point of accommodation was 32 cm in the right eye and 25 cm in the left eye, near point of convergence was 10 cm, and the monocular accommodative power measured with minus lenses was 1.5 diopter (D) in the right eye and 2.0 D in the left eye. After 3 weeks, accommodation difficulties were completely resolved and hyperhidrosis symptoms did not recur. CONCLUSIONS: Ophthalmologic adverse effects related to the autonomic nervous system such as accommodation difficulties may occur with injections of botulinum toxin type B for the treatment of hyperhidrosis. These symptoms should be explained carefully to the patient before the botulinum toxin injection procedure.
Key Words: Accommodation difficulty;Adverse effect;Botulinum toxin type B;Hyperhidrosis;Myobloc


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