title: Treatment of strabismus after retinal detachment surgery with botulinum neurotoxin A.
abstract: Thirty-one consecutive patients were treated with injections of Botulinum Neurotoxin A to rectus muscles for strabismus following retinal detachment surgery. In 14 cases the presenting problem was diplopia and in 17 cases the presenting problem was cosmetic appearance. A total of 67 injections was given. Twenty-seven cases had nine months or more follow-up. Of these, four of 11 cases with diplopia had fusion restored, four were shown to have no fusion potential, and three had temporary improvement only. In 16 cases with a primary cosmetic problem there was no useful effect in two, three had surgery as an alternative, three were realigned long-term, and eight had continuing maintenance therapy with toxin. Over half the series had undergone multiple detachment surgery, often for giant tears and other complex pathology.
authors.affiliation: Toxin Clinic, Moorfields Eye Hospital, London.
authors.forename: J
authors.initials: J
authors.lastname: Lee
authors.forename: B
authors.initials: B
authors.lastname: Page
authors.forename: J
authors.initials: J
authors.lastname: Lipton
mesh_terms: D000328:Adult; D000368:Aged; D001905:Botulinum Toxins / Q000627:therapeutic use*; D004172:Diplopia / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy*; D012163:Retinal Detachment / Q000601:surgery*; D013285:Strabismus / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D014792:Visual Acuity
chemical_list: D001905:Botulinum Toxins