Akkaya Sezen, Kökcen Hatice Kübra, Atakan Tuğba
Fatih Sultan Mehmet Education and Training Hospital, Ophthalmology Clinics, Bostancı, Istanbul, Turkey.
Aksaray Hospital, Ophthalmology Clinics, Konya, Turkey.
Clin Ophthalmol. 2015 Feb 12;9:313-5. doi: 10.2147/OPTH.S76054. eCollection 2015.
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.
我们报告一例在医生为进行美容手术而注射肉毒杆菌毒素后出现单侧短暂性瞳孔散大及上睑下垂的病例。一名36岁的护士在因美容手术注射肉毒杆菌毒素3天后，因右眼单侧瞳孔散大及上睑下垂被转诊至我们的眼科诊所。为她注射肉毒杆菌毒素的是她所在医院的一名并非眼科医生的医生。她接受了0.5%阿可乐定滴眼液局部治疗。使用阿可乐定后，她的上睑下垂减轻至2毫米，视轴得到改善。瞳孔散大持续了3周，然后消失。轻度上睑下垂持续了3个月，之后完全消退。对于寻求使用A型肉毒杆菌毒素进行美容治疗的患者，应警告其注射后可能出现上睑下垂和瞳孔散大的情况。如果出现这些副作用，必须将患者转诊给眼科医生进行适当处理。
