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Complications with BoNT use in ophthalmology occur on account of toxin diffusion or inadvertent placement in to the adjacent muscles. Ptosis of the eyelid is the most typical complication of BoNT treatment of strabismus and blepharospasms.23 Though this outcome is nearly always non permanent and self-resolving, apraclonidine 0.5% (Iopidine) or phen