Does Botox in Eyebrow Cause Light Sensitivity?

Question

since having Botox to remove forehead expressive lines over right eyebrow, Right eye lid is dropping and the right eye is tearing and developed acute light sensitivity

Ron Shelton, MD · Answer

Botox, if injected, too close to the eye, right above the eyebrow in line with the pupil, can affect the position of the upper eyelid by weakening the levator muscle. If you also had some Botox injected into the lower eyelid, that might have made your lid loose and pull away from the eye making tears seem more voluminous as they may not be draining into the tear duct. But it is possible that this is occurring because the pupil is more open and a result of the light sensitivity. All this should resolve in about three months, or slightly more. Iopidine drops may help lift the eyelid by a slight amount. They will have to be placed in the eye a few times per day. Please see an ophthalmologist.

Kenneth D. Steinsapir, MD · Answer

Pain

	Take a look in the mirror and see if your right pupil is dilated relative to the left pupil.  If this is the case, then the BOTOX treatment has seemed into the right orbit affecting the levator palpebra superioris muscle- the muscle that lifts the eyelid and also the ciliary ganglion.  If the effect is profound and the onset rapid, it is likely a significant dose of BOTOX entered the orbit.  The heavy eyelid could last several months.  If this is the case, the iopidine drops will not be helpful for quite a while.  Once the do help open your eyelid, the remaining ptosis will resolve about 4 to 6 weeks later.  I would recommend that you get seen by an ophthalmologist.  Don't have service with the doctor who did this treatment again.

Michael Bowman, MD · Answer

Complications from Botox and Dysport are relatively rare as they are very safe and effective medications. 

	However,  tou have likely described one of the possible problems which can arise after Botox injections around the eye.  If some of the medication find its way down into the upper eyelid, it can cause droopiness of the upper lid, and dilation of the pupil.  This usually can be corrected temporarily with some medicated eye drops, and will eventually resolve when the Botox wears off.  

	There are some other possiblities for the cause of the problem, but I would recommend you go see the doctor who administered the injection.  They should be able to diagnose and treat the problem.

Darryl J. Blinski, MD · Answer

Though a very uncommon consequence of an over aggressive Botox injection, it is more common that we think. Dr Steinsapir  is correct.

Amiya Prasad, MD - Account Suspended · Answer

The eyelid droop may be from the effect of the Botox on a muscle called the “frontalis muscle”. This results in skin that was elevated to descend. I’ve seen many people come in because they realized that they had extra skin over their eyes and were unconsciously raising their eyebrows to compensate for the weight of the extra skin over their eyes. The tearing may be caused by exposure because of the eye being unable to close properly. It’s best to see an Ophthalmologist to evaluate your light sensitivity.

Does Botox in Eyebrow Cause Light Sensitivity?

Answers (5)

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