Wabbels B
Universitäts-Augenklinik Bonn, Ernst-Abbe-Str. 2, 53127, Bonn, Deutschland.
Ophthalmologe. 2016 Jul;113(7):544-9. doi: 10.1007/s00347-016-0302-0.
Botulinum toxin can be a useful tool for treating acute sixth nerve palsy and excessive eye deviations due to unstable Graves' disease, when surgery is not yet possible. The diagnostic injection for estimation of possible postoperative double vision also makes sense. In convergence spasms, periocular botulinum toxin injections can be a therapeutic option. Botulinum toxin is not a first line option in infantile esotropia without binocularity or in adult horizontal strabismus. Side effects include ptosis and vertical deviations.
当手术尚不可行时，肉毒杆菌毒素可作为治疗急性第六神经麻痹和不稳定格雷夫斯病所致过度眼偏斜的有用工具。用于评估术后可能出现的复视的诊断性注射也有意义。在集合痉挛中，眼周注射肉毒杆菌毒素可作为一种治疗选择。肉毒杆菌毒素并非无双眼视功能的婴儿型内斜视或成人水平斜视的一线治疗选择。其副作用包括上睑下垂和垂直偏斜。
