Inadvertent intraocular injection of botulinum toxin A.
This report describes an inadvertent perforation of the globe while injecting botulinum toxin A into the medial rectus muscle without electromyography guidance. Botulinum toxin A does not appear to have toxic effects on the human retina. Close observation and necessary measures to treat any retinal breaks and control increased intraocular pressure should be undertaken.
Jasti V Ramanamma Children's Eye Care Center, Hyderabad, India.
Niranjan
N
Pehere
Subhadra
S
Jalali
Annie
A
Mathai
Milind
M
Naik
Kekunnaya
K
Ramesh
D020434:Abducens Nerve Diseases / Q000188:drug therapy; D019274:Botulinum Toxins, Type A / Q000633:toxicity*; D004596:Electroretinography; D004948:Esotropia / Q000188:drug therapy; D005074:Evoked Potentials, Visual / Q000502:physiology; D006801:Humans; D056965:Injections, Intraocular / Q000009:adverse effects*; D017075:Laser Coagulation; D008297:Male; D008875:Middle Aged; D016602:Needlestick Injuries / Q000175:diagnosis / Q000209:etiology*; D009465:Neuromuscular Agents / Q000633:toxicity*; D009801:Oculomotor Muscles / Q000187:drug effects; D012160:Retina / Q000187:drug effects* / Q000293:injuries* / Q000503:physiopathology; D012167:Retinal Perforations / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D012590:Sclera / Q000293:injuries
D009465:Neuromuscular Agents; D019274:Botulinum Toxins, Type A