Complications with BoNT use in ophthalmology crop up because of toxin diffusion or inadvertent placement in the adjacent muscles. Ptosis in the eyelid is the commonest complication of BoNT treatment of strabismus and blepharospasms.23 Though this outcome is nearly always short-term and self-resolving, apraclonidine 0.five% (Iopidine) or phenylepher