Can Botox cause double vision?

Yes. If the Botox migrates or is not done at the right place, it could go to the ocular muscles. So if it paralysis the ocular muscles, you may have double vision. Usually if this has happened due to migration, it is a very small dose and gets corrected within few days or weeks but if Botox was done at a wrong place, it may take more time to get corrected. Please consult a board certified plastic surgeon to review your case.

Thank you for question. What has probably happened is that the nurse who treated you injected to deep or too close to the intra-orbital muscles. This muscle is responsible for your eyeballs, so if the muscle on one side is affected by Botox, typically the lateral rectus muscle and the other side is not. Therefore, you will get unequal movement, which results in double vision. This should resolve in a few weeks, if not it can take 3 months to resolve when the Botox wears off. I recommend having a consultation with an ophthalmologist for evaluation. Best of Luck!

Thank you for question. What has probably happened is that the nurse who treated you injected to deep or too close to the intra-orbital muscles. This muscle is responsible for your eyeballs, so if the muscle on one side is affected by Botox, typically the lateral rectus muscle and the other side is not. Therefore, you will get unequal movement, which results in double vision. This should resolve in a few weeks, if not it can take 3 months to resolve when the Botox wears off. I recommend having a consultation with an ophthalmologist for evaluation. Best of Luck!

Unfortunately, double vision is a rare, reported side effect of Botox injections. It was smart of you to first have your vision checked for glasses, as some people can recruit muscles to see more clearly. Now that you ruled this out by having your vision checked, your double vision likely occurred because Botox migrated into the muscles that control eye movements and eye muscle contractions.  Fortunately, double vision as a side effect to Botox typically lasts only a few weeks.  If your symptoms persist or worsen, I strongly urge you to followup with a board certified ophthalmologist.

this is a known but rare side effect of Botox and should dissipate in a few days.  Most likely it does not have anything to do with poor technique

It's unfortunate that you have suffered this complication. Generally, an in depth knowledge of anatomy is the key  to a good natural result when it comes to injecting Botox. When injections are done by a specialist surgeon, you can be assured that someone who knows and see a the anatomy is injections you.  What I think has happened is that the nurse may have injected too deep or too close to yours intra-orbital muscles which are responsible for moving your eyeballs, so if one muscle on one side is affected by botox, usually the lateral rectus muscle and the other side is not, then you get unequal movement and hence double vision as the image on your retina is not balanced. If the dose was small enough, this should resolve in a few weeks. Worst case is that it may take 3 months. This is usually not the case. You are doing the right thing by getting a consultation, and I think you should see an ophthalmologist for review. Hope this is helpful.

Sorry to hear about your problem with double vision after receiving Botox.  Double vision is a very rare complication that can occur after having Botox.  I saw it once after injecting a patient.  It only lasted a few days and went away on it's own.  The patient has had the area injected multiple times before and after without any problems.  Dr. DiPasquale

I'm very sorry to hear that you're experiencing double vision after your Botox treatment.  Botox works by temporarily paralyzing overactive facial muscles to reduce the appearance of fine lines and wrinkles.  Botox can cause side effects if it drifts and affects other, unintended muscle groups.
Although I have never seen it in my own practice, double vision is a rare, reported side effect of Botox injections.  It occurs when Botox drifts to affect the muscles that control the movement of the eye.  Luckily, this typically only lasts a few weeks in most patients.  If your symptoms persist, please follow-up with a board-certified ophthalmologist.  Best of luck.