| BRIEF REPORT |
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| Year : 2007 | Volume
: 55
| Issue : 4 | Page : 307-308 |
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The role of Botulinum toxin in correcting frontalis-induced eyelid pseudo-retraction post ptosis surgery
Debraj Shome1, Vandana Jain2, Sundaram Natarajan3
1 Department of Ophthalmic and Facial Plastic Surgery, Orbital Diseases and Ocular Oncology, Aditya Jyot Eye Hospital Pvt. Ltd., Mumbai, India
2 Department of Cornea and Anterior Segment, Aditya Jyot Eye Hospital Pvt. Ltd., Mumbai, India
3 Department of Retina, Aditya Jyot Eye Hospital Pvt. Ltd., Mumbai, India
Correspondence Address:
Debraj Shome
Department of Ophthalmic and Facial Plastic Surgery, Orbital Diseases and Ocular Oncology, Aditya Jyot Eye Hospital Pvt. Ltd., Plot No. 153, Road No. 9, Major Parmeshwaran Road, Wadala, Mumbai - 400 031
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0301-4738.33049
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We report a case of a 52-year-old female patient who developed overcorrection, due to brow overuse, post surgery for bilateral aponeurotic ptosis. The patient had undergone levator palpebrae superioris plication bilaterally. Due to brow overuse habituated by long standing ptosis, the patient presented with superior scleral show, post ptosis surgery. The lid contour was normal in both eyes and when brow overaction was blocked mechanically, the palpebral fissure heights were normal, comparable, with no scleral show bilaterally. Despite repeated instructions, when the patient continued brow overuse subconsciously, an injection of botulinum toxin was given just above both brows. This led to elimination of brow overuse within a month, with elimination of superior scleral show. The patient maintained lid and brow symmetry with no overaction, eight months post injection. |
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