Abstract
Thirty-one consecutive patients were treated with injections of Botulinum Neurotoxin A to rectus muscles for strabismus following retinal detachment surgery. In 14 cases the presenting problem was diplopia and in 17 cases the presenting problem was cosmetic appearance. A total of 67 injections was given. Twenty-seven cases had nine months or more follow-up. Of these, four of 11 cases with diplopia had fusion restored, four were shown to have no fusion potential, and three had temporary improvement only. In 16 cases with a primary cosmetic problem there was no useful effect in two, three had surgery as an alternative, three were realigned long-term, and eight had continuing maintenance therapy with toxin. Over half the series had undergone multiple detachment surgery, often for giant tears and other complex pathology.
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Lee, J., Page, B. & Lipton, J. Treatment of strabismus after retinal detachment surgery with Botulinum Neurotoxin A. Eye 5, 451–455 (1991). https://doi.org/10.1038/eye.1991.73
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DOI: https://doi.org/10.1038/eye.1991.73
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