How Long Does Strabism & Diplopia After Botox Injection Subsides?

hello dear doctors i am a 60 years old woman,i had botox injection two weeks ago & i experienced a severe angioedema after that ...after the edema subside i started to experience blurry double vision ,strabism ,trouble to chew & swalloing foods...my doctor says it's because of leakage of botox into other facial muscles (because of the edema around the eye),i 'm so nervouse i want to know when this side effects will subside? & what can i do to make it resolve earlier?

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age 55-64 blurry vision

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5 Doctor Answers | Asked by hadi1981 in dubai

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Complications of Botox

Your symptoms may be more than direct diffusion of botox into the extraocular eyelid muscles. As you mention swallowing difficulty and angioedema, there might have been a very rare systemic effect. The side effects should not last for the majority of patients longer than 4 to 6 months. With such significant side effects, you should not have retreatment with Botox unless you are tested by an allergist, and this may not be able to rule out all types of immune reactions to Botox. You may... more

Botox is temporary, both for treatment and side effects

The good news is that Botox is a temporary medicine, so the effects will wear off. The bad news is that it may take up to 4-6 months for the medicine to fully wear off, and things to go back to normal. The symptoms you describe are extremely unusual. Double vision and strabismus can occur with botulinum toxin injections, but this should be very rare. Trouble swallowing and chewing should no be a problem w/ cosmetic injections of Botox. Also, Angioedema is a... more

Why did you have the BOTOX treatment?

Double vision from BOTOX occurs when this agent is injected into the extraocular muscles that move the eyes. Rarely, cosmetic botox can be introduced into the orbit with the effect of weakening the extraocular muscles. Typically when the extraocular muscles are intentionally treatment, the weakness can persist for 3 to 6 months. When a tiny amount of BOTOX leaks into the orbit in association with a cosmetic treatment, the diplopia does not last nearly this long.... more

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

Excessive eye issues after Botox

These are not normal problems with Botox Cosmetic and unfortunately it's really hard to give you an answer for how long any of these can or will last. Even with a bit of edema after Botox, which does happen but is uncommon, these side effects seem to be quite excessive. I sincerely hope you went to a well-qualified physician and did receive the product made by Allergan. I would suggest you find out exactly where the injections were done, and how much Botox was injected at each site, and... more

Side Effects From Too Much Botox

These side effects would ordinarily be very unusual in the typical cosmetic use of Botox, unless your doctor gave you too much Botox. I would recommend seeing a fellow-trained ophthalmologic plastic surgeon (i.e. an ophthalmologist with extra training in plastic surgery of the eye area) who may be able to help you with your vision problems.