Department of Dermatology, Robert Wood Johnson School of Medicine, Somerset, New Jersey, USA.
Pediatric Dermatology, Children's Hospital of Philadelphia, Philadelphia, New Jersey, USA.
Australas J Dermatol. 2023 Aug;64(3):e220-e223. doi: 10.1111/ajd.14120. Epub 2023 Jun 30.
Facial intramuscular injections of Botulinum toxin (BoNT) injections are among the most common cosmetic procedures in dermatology. Rarely, serious adverse reactions such as blepharoptosis, diplopia and periorbital hematoma may occur with improper administration technique. Here we report a case of painless diplopia 5 weeks post-BoNT injection for 'crow's feet' likely due to inadvertent BoNT diffusion into the lateral rectus muscle causing a temporary palsy. This case aims to raise awareness of proper cosmetic BoNT injection techniques in the periorbital area to avoid ophthalmic complications.
面部肌肉内注射肉毒毒素（BoNT）是皮肤科最常见的美容程序之一。然而，由于技术不当，可能会出现严重的不良反应，如眼睑下垂、复视和眶周血肿。在此，我们报告了一例因注射肉毒毒素治疗“鱼尾纹”而导致无痛性复视的病例，该病例发生在注射后 5 周，可能是由于肉毒毒素意外扩散至外直肌，导致暂时瘫痪。本病例旨在提高对眶周区域肉毒毒素美容注射技术的认识，以避免眼部并发症。
