Botulinum toxin injection into the superior rectus muscle of the non-dominant eye for dissociated vertical deviation.
A variety of surgical procedures on the superior rectus muscles have been proposed as a remedy for Dissociated Vertical Deviation (DVD); Botulinum toxin (Oculinum) has been one such suggestion as a surgical alternative. We selected five older patients with DVD whose age placed them beyond a risk of amblyopia to evaluate Oculinum injection into the superior rectus muscle as therapy for DVD. The patients achieved a reduction from the mean value of 20 prism diopters to the mean value of less than 5 pd hypertropia at 172 weeks following injection. Our study suggests that Oculinum is effective in treating DVD, but caution should be exercised because transient ptosis invariably accompanies injection.
McNeer
K W
KW
Department of Ophthalmology, Medical College of Virginia, Richmond.
D000293:Adolescent; D000328:Adult; D001763:Blepharoptosis / Q000150:complications; D001905:Botulinum Toxins / Q000627:therapeutic use*; D002648:Child; D004948:Esotropia / Q000150:complications; D005133:Eye Movements; D006801:Humans; D007267:Injections; D009801:Oculomotor Muscles / Q000187:drug effects*; D013285:Strabismus / Q000628:therapy*; D013997:Time Factors
D001905:Botulinum Toxins