Can I Use Botox if I Have Glaucoma (Open Angle?)

Doctor Answers 9

Botox and glaucoma

It should be OK to have Botox treatments if you have glaucoma. I've never heard of it raising eye pressure or interacting with glaucoma drops. Enjoy!

Orlando Oculoplastic Surgeon
3.9 out of 5 stars 10 reviews

Safety of Botox

Within 20 to 90 minutes after Botox is injected, botulinum neurotoxin type A can be detected inside the motor nerve endings. Therefore the muscles and nerve endings take up the Botox very quickly before it can spread far from the injection site. It should be perfectly safe for you to have Botox injections even if you have glaucoma.


Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon
4.7 out of 5 stars 12 reviews

BOTOX® is OK for glaucoma patients

BOTOX® will not affect your glaucoma one way or the other [won't hurt, won't help, won't make any difference one way or the other.]

BOTOX® [and other formulations of BTX-A] are sometimes used to treat conditions around the eyes, including bleparospasm [uncontrolled blinking], and strabismus ["lazy eye" where one eye won't point properly at what the patient is trying to look at].

Kevin C. Smith, MD
Niagara Falls Dermatologic Surgeon
4.7 out of 5 stars 4 reviews

Botox should have no effect on glaucoma

It is perfectly fine to have Botox injections if you have open angle glaucoma.  The bottom line is that Botox treatments do not effect the pressure in your eye and do not interact with glaucoma medications. 

Marc Cohen, MD
Philadelphia Oculoplastic Surgeon
4.8 out of 5 stars 24 reviews

In a word...yes

as long as you're a candidate for botox, the fact you have glaucoma doesn't fact a study demonstrated botox injected around the eyes about 18 hours after an acute attack of glaucoma reduced the pain and improved quality of go for it...

Ken Landow, MD
Las Vegas Dermatologist
4.6 out of 5 stars 9 reviews

Botox and dysport may be used in patients with glaucoma

There have not been reports of problems with botox or dysport increasing intraocular pressure so there shouldn't be a problem with glaucoma patients.  Certainly, ask your ophthalmologist if it is ok for your doctor to inject Botox if you have glaucoma.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

Botox and glaucoma

There is no reason that you should not be able to have Botox treatments with glaucoma. Make sure you tell your treating physician your history so he is able to document this however botox does not have any known effect on your intraocular pressure and there is no indication of reactions with glaucoma medications. Best regards!

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 210 reviews

Botox has no effect on glaucoma

Glaucoma is usually due to an increase in intraocular pressure.  Botox does not have an effect on intraocular pressure.  Also, there are no reports of Botox inducing glaucoma in the medical literature.

Botox was originally discovered as a treatment for wrinkles by a husband and wife team of doctors, an ophthalmologist and a dermatologist.  The ophthalomologist noticed that patients injected with Botox for ocular problems had reductions of wrinkles around the eyes.

Emily Altman, MD
Short Hills Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Botox OK in Patients With Glaucoma



There is no reason to believe that Botox will affect your intraocular pressure.  You should be able to receive treatments without any effect on your glaucoma.

Michael McCracken, MD
Lone Tree Oculoplastic Surgeon
5.0 out of 5 stars 12 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.