Botox Around Eyes is Causing Double Vision, is This Normal? Doctor Answers, Tips
Botox: Q&A
Ask a Question

Botox Around Eyes is Causing Double Vision, is This Normal?

I had Botox around the eyes, three days after the injections I woke up with double vision, that was 2 weeks ago. I am wearing a patch over one eye just so I can work. I was told that the Botox migrated into the eye muscle and I should see improvement within several weeks. If not, it could be 3 months. Have you heard of this problem with Botox?

13 Doctor Answers | Asked by joy5143 in De Leon Springs, FL
+3

Botox causing diploplia (double vision) is not usual

Botox can affect any muscle that it is injected into.  It sounds like the muscle that was affected here was one of the muscle controlling the movement of the eyeball itself. (That is the movement of the eyeball). Typically our eyes help us to see 3-dimensionally and this helps with spatial orientation.  When the images that the brian is processing are not synchronous, then the resultant images are doubled (therefore double vision.) Hopefullty there was just a small... more
+2

Botox diffusion CAN Cause Diplopia

While on the rarer side, Botox can cause double vision if it diffuses into the eye muscles.  The good thing is that it generally only lasts a week or two and then goes away.  Just be patient and you should be fine pretty quick.
+2

Double Vision after Botox around the Eyes

Regarding: "Botox Around Eyes is Causing Double Vision, is This Normal? I had Botox around the eyes, three days after the injections I woke up with double vision, that was 2 weeks ago. I am wearing a patch over one eye just so I can work. I was told that the Botox migrated into the eye muscle and I should see improvement within several weeks. If not, it could be 3 months. Have you heard of this problem with Botox?" I have an extensive experience with Botox and have never... more

You might also like...

Real Stories

Botox Treatment - Day One - Mclean, VA

This is my first treatment. My Doctor used 20 units to treat the vertical lines between my...

Before + After Photos

View 430 Botox photos
+1

Botox and double vision

Double vision can happen if the botox migrated into the extraocular muscles. I have never seen this in my practice.
+1

Botox & Vision problems

This complication is very rare. It is always mentioned in the literature as a potential complication.I have never seen it in the 16 years that I have been using Botox.  In 2009, 4 patients came to my practice with this problem. They were injected by other physicians/nurse practitioners/aestheticians!!   It was due to a non-approved botulinum toxin usage, or to a high dilution, with a large # of units injected in the crow's feet area. The problem resolves in a few weeks ,... more
+1

Botox and double vision

If Botox spreads to regional areas it may affect the eyemuscles which could cause double vision. If there is a high volume of liquid injected (some doctors like to dilute their botox more than others, which is fine if they use the same number of units per area of treatment compared to a different dilution, so more of a dilute solution is needed than a less diluted solution) then there is a greater chance of the botox affecting nearby muscles that were not the desired target. That's... more
+1

Botox causing double vision

Botox does diffuse so it can affect unintended nearby muscles. For double vision, it would be the extraocular muscles the most shallow of which is the inferior oblique muscle. For this reason I try to avoid the inner portion of the lower lid when injecting Botox. To attribute double vision to Botox, it needs to make anatomic sense with respect to where the Botox was injected and the particular muscle that is weakened. If another one is weakened, the physician need to look at other... more
+1

Not normal!

The Botox must have been injected too close to the eye and so deep that it migrated into the muscles that control eye movement. This can be seen if the crow's feet are injected inside the orbital rim, or if some other occurrence like excessive swelling caused the migration.
+1

Double vision after botox

Double vision after injection with neurotoxin for forehead wrinkles is not normal. Consultation with an oculoplastic surgeon is needed to see why this is happening to you. For the neurotoxin to diffuse into the muscles of the orbit is theoretically possible, but should not happen in the hands of an experienced physician injector.
+1

Botox side effects

Double vision following Botox is not typical nor is it expected.  When the glabellar region (eleven lines) are treated, it is crucial to inject at least 1 cm above the eyebrow.  Otherwise, this neurotoxin may take effect most commonly on the levator.  This will cause eyelid ptosis (dropping).  It is very rare for this material to effect the actual muscles regulating eyeball movement.  Keep close follow up with your physician.  There is a medication that can... more
+1

Double vision after Botox

This is highly unusual when injected for cosmetic indications but not as unusual when injected for strabismus.
+1

Double vision after Botox?

Double vision has been reported after Botox treatment, but it is not common, nor is it "expected."  To give you double vision, the Botox was injected or migrated into the muscles that control the eye movement, as opposed to the muscles that cause wrinkles around the eyes.  The good news is that the double vision will be temporary, but it may last a few weeks (or longer).
+1

Double Vision After Botox

Double vision after Botox is extremely unusual.  However, it is theoretically possible and would be caused by diffusion of or introduction of Botox behind the orbital septum affecting the extraocular muscles.  These muscles are responsible for motion of the globe (EYEBALL) and any induced weakness by Botox could lead to double vision. Another rare but potential cause would be a coincidental Abducens nerve palsy (associated with a viral upper respiratory infection), which provides... more
Doctors will not see your comments on their answers. If you'd like to follow up, please go here to ask another question.

Comments (0)

Ask a Question

Welcome Back

Sign in with Facebook

Your information remains private and will not be posted without your permission.

Forgot your password?

Don't have an account? Create one now.

Join RealSelf

Join with Facebook

Your information remains private and will not be posted without your permission.

Please enter a valid email address
 Did you mean ?

By creating an account, you are indicating that you have read and accept the RealSelf Terms of Use.

Already a member? Sign In.

Retrieve your password

Enter your username or email address and we will send you a link to login.

Check your email

Check your email. We've sent you a link to reset your password.

Ok