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Troubles with BoNT use in ophthalmology arise due to toxin diffusion or inadvertent placement into your adjacent muscles. Ptosis of the eyelid is the commonest complication of BoNT treatment of strabismus and blepharospasms.23 Though this result is nearly always short-term and self-resolving, apraclonidine 0.5% (Iopidine) or phenylepherine hydrochl