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Complications with BoNT use in ophthalmology come up due to toxin diffusion or inadvertent placement to the adjacent muscles. Ptosis of the eyelid is the commonest complication of BoNT treatment of strabismus and blepharospasms.23 Even though this effect is almost always short term and self-resolving, apraclonidine 0.five% (Iopidine) or phenylepher

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