Diplopia associated with the cosmetic use of botulinum toxin a for facial rejuvenation.
We report three cases in which cosmetic injections of botulinum toxin A around the eye caused diplopia. Diplopia was due to inferior oblique paresis, which was bilateral in two cases. We suggest that consent for periocular botulinum toxin procedures should include a warning about diplopia.
Aristodemou
Petros
P
Queen Mary's Hospital, Sidcup, Kent, United Kingdom. topetros@yahoo.com
Watt
Linda
L
Baldwin
Claire
C
Hugkulstone
Charles
C
D000328:Adult; D019274:Botulinum Toxins, Type A / Q000008:administration & dosage / Q000009:adverse effects*; D003357:Cosmetic Techniques / Q000009:adverse effects*; D004172:Diplopia / Q000139:chemically induced*; D005145:Face; D005260:Female; D006801:Humans; D007267:Injections; D008875:Middle Aged; D009465:Neuromuscular Agents / Q000008:administration & dosage / Q000009:adverse effects*; D012060:Rejuvenation
D009465:Neuromuscular Agents; D019274:Botulinum Toxins, Type A