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Revista Mexicana de Oftalmología

Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México
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2018, Number 1

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Rev Mex Oftalmol 2018; 92 (1)

Lower lid entropion correction using botulinum toxin

Telich-Tarriba JE, Martínez-Schulte A, Grajeda-Gómez A, Barquet-Fuentes A, Telich-Vidal J
Full text How to cite this article

Language: Spanish
References: 10
Page: 39-42
PDF size: 230.39 Kb.


Key words:

Botulinum toxin, Entropion, Lower lid.

ABSTRACT

Introduction: Entropion is defined as an inversion of the lower lid border, it may have several etiologies, however the most common form of presentation is associated with the aging process. This clinical condition is mostly relevan due to the ophthalmological and aesthetic complications it may unleash. Surgical procedures are the standard form of management, nevertheless, several factors may hinder their use. For this reason minimally invasive or temporary procedures have been developed to treat this deformity, among them the use of botulinum toxin has been reported. Case report: We present the case of an 82-year-old female diagnosed with involutional entropion who rejected any surgical procedures. After failing conservative measures 12 units of botulinum toxin were applied in the lower lid, obtaining resolution of the entropion for a period of 16 weeks. Discussion and conclusions: Botulinum toxin is a viable, accesible and effective alternative for the temporary management of involutional entropion, especially in patient do not wish to or cannot be subjected to surgical procedures.


REFERENCES

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  2. Deka A, Saikia SP. Botulinum toxin for lower lid entropion correction. Orbit. 2011;30:40–2.

  3. Clarke JR, Spalton DJ. Treatment of senile entropion with botulinum toxin. Br J Ophtalmol. 1988;72:361–2.

  4. Steel DH, Hoh HB, Harrard RA, et al. Botulinum toxin for the temporary treatment of involutional lower lid entropion: A clinical and morphological study. Eye (Lond). 1997;11:472–5.

  5. Irvine S, Francis IC, Bishop AE, et al. The entropion patch: A method of temporarily correcting involutional entropion with adhesive tape. Ophthalmic Surg. 1994;25:604–6.

  6. Christiansen G, Mohney B, Baratz H, et al. Botulinum toxin for the treatment of congenital entropion. Am J Ophtalmol. 2004;138:153–5.

  7. Naik MN, Soparkar CN, Murthy R, Honavar SG. Botulinum toxin in ophthalmic plastic surgery. Indian J Ophthalmol. 2005;53:279–8.

  8. Kaynak-Hekimhan P. Noncosmectic periocular therapeutic applications of botulinum toxin. Middle East Afr J Ophthalmol. 2010;17:113–20.

  9. Magoon EH. Botulinum toxin for treatment of blepharospasm, corneal exposure, and entropion. J Ocul Ther Surg. 1985;4:133–5.

  10. Cillino S, Raimondi G, Guépratte N, et al. Long- term efficacy of botulinum toxin A for treatment of blepharospasm, hemifacial spasm and spastic entropion: A multicentre study using two drug dose escalation indexes. Eye (Lond). 2010;24:600–7.




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Rev Mex Oftalmol. 2018;92