Why Did I End Up in the Emergency Room After Botox Injections?

I experienced horrible visual disturbances after Botox injections. I ended up in the emergency room. The doctor injected near my lower lash line. Why did this happen?

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5 Doctor Answers | Asked by anon

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Botox injections may cause visual disturbances for many reasons

There are numerous reasons that Botox injected in the lower eyelid can cause visual disturbances. Botox acts to prevent muscles from contracting. If the muscle around the eye is unable to contract, the tears may not get "pumped" out of the eye and the tears will then pool in front of the pupil distorting vision. In addition, the eyelid may not close properly and the front of the eye, the cornea, can dry out and reduce vision or create hazy vision. Closer to the eye behind the... more

Botox Can Reduce Tear Production

Another rare but possible complication after Botox injection to the "crow's feet" is decreased tear production. If Botox is injected near the lacrimal gland (which resides deep to the outer edge of the upper eyelid), this gland which helps to lubricate the surface of the eye may produce less tears. This effect has been shown to last for 6 months when injected directly into the gland. In someone who has dry eyes to begin with, this could cause worsening of the condition and blurry... more

Emergency Room After Botox Injections

Sorry that you had such a negative experience. Botox adversely affecting the vision is normally caused by one of two primary reasons. Injector error due to improper technique or improper location. Or, not genuine botox was used. The decision to place botox near the lower lash line is generally unwise as it can affect two muscles - Orbicularis Oculi muscle and Inferior Oblique muscle. If the inferior oblique muscle was affected then... more

Botox injections and vision

Based on the information given, I hope you did not go to a "Botox Party." So many people, including spas are injecting botox. These people are not qualified to do this. Please consult with a Board Certified Plastic Surgeon, certified by the American Society of Plastic Surgery ( ASPS) for Botox. I have never heard of anyone having to go to an ER resulting from a Botox injection.

Robert E. Zaworski, MD

4 reviews

Atlanta Plastic Surgeon

Visual disturbances after Botox injections

Sounds to me like you had "Bad Botox". "The doctor injected near my lower lash line." The question should be WHY would he/she be injecting Botox along your lower lid's lash line. Botox paralyzes a small segment of the muscle into which it is injected. As plastic surgeons we inject it either to smooth wrinkles caused by muscle shortening OR to weaken one muscle allowing its opposing muscle to win (IE weaken the muscle that lowers the corner of the mouth allowing the... more