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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Autores principales: Akkaya S, Kökcen HK, Atakan T
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Lenguaje:EN
Publicado: Dove Medical Press 2015
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Acceso en línea:https://doaj.org/article/115c068111084faaba80232a2d4633b3
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Akkaya S
Kökcen HK
Atakan T
Unilateral transient mydriasis and ptosis after botulinum toxin injection for a cosmetic procedure
description 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
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