Unilateral transient mydriasis and ptosis after botulinum toxin injection for a cosmetic procedure
Sezen Akkaya,1 Hatice Kübra Kökcen,1 Tuğba Atakan2 1Fatih Sultan Mehmet Education and Training Hospital, Ophthalmology Clinics, Bostanci, Istanbul, 2Aksaray Hospital, Ophthalmology Clinics, Konya, Turkey Abstract: We report a case of unilateral transient mydriasis and p...
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Dove Medical Press
2015
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oai:doaj.org-article:115c068111084faaba80232a2d4633b32021-12-02T03:02:26ZUnilateral transient mydriasis and ptosis after botulinum toxin injection for a cosmetic procedure1177-5483https://doaj.org/article/115c068111084faaba80232a2d4633b32015-02-01T00:00:00Zhttp://www.dovepress.com/unilateral-transient-mydriasis-and-ptosis-after-botulinum-toxin-inject-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483 Sezen Akkaya,1 Hatice Kübra Kökcen,1 Tuğba Atakan2 1Fatih Sultan Mehmet Education and Training Hospital, Ophthalmology Clinics, Bostanci, Istanbul, 2Aksaray Hospital, Ophthalmology Clinics, Konya, Turkey Abstract: We report a case of unilateral transient mydriasis and ptosis after botulinum toxin injection applied by a medical doctor for a cosmetic procedure. A 36-year-old nurse was referred to our eye clinic with unilateral mydriasis and ptosis in the right eye 3 days after botulinum toxin injection for a cosmetic procedure. Botulinum toxin was applied to her eye by a doctor at her hospital who was not an ophthalmologist. She was treated with topical apraclonidine 0.5% ophthalmic solution. Her ptosis decreased to 2 mm with apraclonidine and her visual axis improved. Mydriasis was present for 3 weeks and then disappeared. Mild ptosis continued for 3 months, then resolved completely. Patients seeking treatment with botulinum toxin A for cosmetic purposes should be warned about the possibility of ptosis and mydriasis after injection. If these side effects are seen, the patient must be referred to an ophthalmologist for appropriate management. Keywords: botulinum toxin, mydriasis, ptosisAkkaya SKökcen HKAtakan TDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 313-315 (2015) |
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Ophthalmology RE1-994 |
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Ophthalmology RE1-994 Akkaya S Kökcen HK Atakan T Unilateral transient mydriasis and ptosis after botulinum toxin injection for a cosmetic procedure |
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Sezen Akkaya,1 Hatice Kübra Kökcen,1 Tuğba Atakan2 1Fatih Sultan Mehmet Education and Training Hospital, Ophthalmology Clinics, Bostanci, Istanbul, 2Aksaray Hospital, Ophthalmology Clinics, Konya, Turkey Abstract: We report a case of unilateral transient mydriasis and ptosis after botulinum toxin injection applied by a medical doctor for a cosmetic procedure. A 36-year-old nurse was referred to our eye clinic with unilateral mydriasis and ptosis in the right eye 3 days after botulinum toxin injection for a cosmetic procedure. Botulinum toxin was applied to her eye by a doctor at her hospital who was not an ophthalmologist. She was treated with topical apraclonidine 0.5% ophthalmic solution. Her ptosis decreased to 2 mm with apraclonidine and her visual axis improved. Mydriasis was present for 3 weeks and then disappeared. Mild ptosis continued for 3 months, then resolved completely. Patients seeking treatment with botulinum toxin A for cosmetic purposes should be warned about the possibility of ptosis and mydriasis after injection. If these side effects are seen, the patient must be referred to an ophthalmologist for appropriate management. Keywords: botulinum toxin, mydriasis, ptosis |
format |
article |
author |
Akkaya S Kökcen HK Atakan T |
author_facet |
Akkaya S Kökcen HK Atakan T |
author_sort |
Akkaya S |
title |
Unilateral transient mydriasis and ptosis after botulinum toxin injection for a cosmetic procedure |
title_short |
Unilateral transient mydriasis and ptosis after botulinum toxin injection for a cosmetic procedure |
title_full |
Unilateral transient mydriasis and ptosis after botulinum toxin injection for a cosmetic procedure |
title_fullStr |
Unilateral transient mydriasis and ptosis after botulinum toxin injection for a cosmetic procedure |
title_full_unstemmed |
Unilateral transient mydriasis and ptosis after botulinum toxin injection for a cosmetic procedure |
title_sort |
unilateral transient mydriasis and ptosis after botulinum toxin injection for a cosmetic procedure |
publisher |
Dove Medical Press |
publishDate |
2015 |
url |
https://doaj.org/article/115c068111084faaba80232a2d4633b3 |
work_keys_str_mv |
AT akkayas unilateraltransientmydriasisandptosisafterbotulinumtoxininjectionforacosmeticprocedure AT koumlkcenhk unilateraltransientmydriasisandptosisafterbotulinumtoxininjectionforacosmeticprocedure AT atakant unilateraltransientmydriasisandptosisafterbotulinumtoxininjectionforacosmeticprocedure |
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