Eyelid Droop and Frozen Pupil After Botox

Will this wear off or is there the possibility of permanent damage? A blood vessel above my left eye bled quite profusely after the injection and left bruising which is still visible 2 weeks after injection. Is there a connection? Right eye is fine. How does the botox get to the eye to cause the pupil to freeze? All help gratefully accepted as I am very worried

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7 Doctor Answers | Asked by 123eileen in scotland

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Eyelid droop and frozen pupil related to Botox?

Eyelid droop can happen if the Botox was injected in the brow and drifted down into the muscles that cotrol the elevation of the eyelid. That will eventually wear off if Botox is the cause. Although theoretically a dilated or frozen pupil is possible due to Botox, I recommend a consultation with a neurologist or ophthalmologist immediately to rule out other, more serious causes.

Eyelid droop and frozen pupil after Botox

Although this may turn out to be related to Botox, it may be that the timing is purely a coincidence and that you have a potentially life-threatening aneurysm in your brain causing a third nerve palsy. I suggest you go to the emergency room to see a neurologist or ophthalmologist immediately and get evaluated. Yoash R. Enzer, MD

Issues with Botox Injections

Botox relaxes muscles leading to the relaxation of lines and wrinkles and yes, if the Botox is placed to close to the eyebrows, the eyebrows and or the upper eyelids can droop. This will eventually go away (several months) any you can avoid having Botox placed in that area in the future. Raising and lifting the eyebrows and closing the eyes can increase muscle activity and may make the Botox wear off sooner...but the effects are not permanent. There should be no effect... more

Pupil involvement from Botox

There have been reports of reversible pupil dilation after Botulinum toxin injection around the eye area, so it should go away. However, you should still consult an ophthalmologist or neurologist to rule out any other causes. Dr Taban

BOTOX has been reported to affect the cillary ganglion which can affect the pupil.

Dear Eileen This is alarming and warrants evaluation by an ophthalmologist and possibly a neuro-ophthalmologist. I am not aware of a published report of a cosmetic BOTOX treatment affecting the cillary ganglion but this is certainly possible. It is likely that the treatment effects will wear off as the BOTOX wears off. However, because this is so unusual, it is highly recommended that you get an immediate evaluation by an opthalmologist, and possibly an assessment by a... more

Kenneth D. Steinsapir, MD

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Los Angeles Oculoplastic Surgeon

This does not sound like a treatment-related problem

The symptoms you are complaining of, in particular the changes to your pupil, do not sound at all like they are related to treatment with BOTOX®. There are various neurological conditions which might produce this symptom complex, but you would need to see an ophthalmologist or neurologist to sort that out. I very much doubt that the buising you had is related to the other things you are describing. You should at least return to the doctor who treated you with BOTOX® so... more

Eyelid droop can happen rarely after botox but not frozen pupil

An eyelid droop can happen if the levator muscle of the upper eyelid gets affected but this is a temporary effect. A frozen pupil, however, should not happen even rarely, so you should get this evaluated immediately.