Abstract

ISAAC, Cassiano Rodrigues; CHALITA, Maria Regina Catai  and  PINTO, Luciana D.. Botox^® after Botox^® - a new approach to treat diplopia secondary to cosmetic botulinic toxin use: case reports. Arq. Bras. Oftalmol. [online]. 2012, vol.75, n.3, pp. 213-214. ISSN 0004-2749.  http://dx.doi.org/10.1590/S0004-27492012000300014.

A new technique for the treatment of diplopia secondary to cosmetic botulinum toxin A use is described. In this interventional case reports, two consecutive patients who developed diplopia after periocular cosmetic use of botulinum toxin A were treated with intramuscular botulinum toxin A injection into the antagonist extraocular muscle. Diplopia resolved in both patients in less than 1 week with no side effects or complications. In conclusion, the injection of intramuscular botulinum toxin A is an encouraging option for treatment of diplopia secondary to botulinum toxin A use for facial lifting.

Keywords : Botulinum toxins, type A [adverse effects]; Strabismus; Diplopia; Neuromuscular agents [administration & dosage]; Humans; Female; Adult; Case reports.