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.
Department of Ophthalmology, Medical College of Virginia, Richmond.
K W
KW
McNeer
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