Xeomin Ran in my Eye Accidently What Should I Do? I'm Very Scared

Question

I received xeomin in my forehead today as the doctor was pulling the needle out I felt liquid quickly running down my forehead and it ran into my eye. I am so scared now that something is going to happen to my eye please any insight would be so helpful.

Kenneth Hughes, MD · Answer

Hi Marilyn,

	 You have nothing to worry about, a small amount of Xeomin will not cause any harm to the eye.

Brian S. Biesman, MD · Answer

No. I have been injecting Botox since 1989 and over the years occasionally this has occurred either to my patients or to patients referred to me after this had taken place. I have never seen (or heard) of any type of problem arising from a small amount of these drugs coming into contact with the eye. You can relax and stop worrying!

Raffy Karamanoukian, MD, FACS · Answer

Xeomin and Botox are unlikely to produce any muscle weakness that is clinically evident.  I would recommend a one week follow up to assess just to make sure.

Ron Shelton, MD · Answer

I have never heard of Botox Cosmetic, Dysport or Xeomin having caused a problem with the eye if some liquid dropped in the eye, and I would think that in the last 20 years of cosmetic botox, and more years with ophthalmologists treating strabismus ("lazy eye") by injecting the muscles of the eye (not eyelid) that there would have been vocal reports from patients, the company or warnings from the FDA, by now. Please do see an ophthalmologist for an evaluation to obtain reassurance.

Kenneth D. Steinsapir, MD · Answer

Please let this go.  There is not harm from this.  Yes a little Xeomin was wasted but it certainly is not going to cause any harm.  Try to relax.  Breath deeply.

Kristin J. Tarbet, MD, FACS · Answer

You have nothing to worry about. I have heard of this happening before without any side effects.

Harry Goldin, MD · Answer

I do not think you need to worry.  Your tears will dilute the material and the effects will be negligible. We are careful not to drip solutions into eyes, but unfortunately this may occur.   When this happens, we wash the eye with sterile saline or other eye solution.  We keep eye solution bottles available in each room just in case it is needed.

Joseph L. Grzeskiewicz, MD, FACS · Answer

Like most injectors, there are times when I have had a drop or two of toxin solution drip from the end of the needle into a patient's eye. I have never seen any unwanted effects when this has happened. In order to have an effect, these toxins must be introduced into the muscle where they can access the junction between nerve cells and muscle cells, and this just cannot happen by simply dripping the solution into the eye. This is similar to the other questions about topical neurotoxin creams. The bottom line: Don't worry.

Glenn Vallecillos, MD, FACS · Answer

Hello and thank you for the question.

	You shouldn't experience any ill-effects from having a drop of Xeomin fall onto your conjunctiva.  If you're overly concerned, you may consider following up with your doctor 2 weeks post-treatment. In all likelihood you will be just fine. 

	Kindest Regards,

	Glenn Vallecillos, M.D., F.A.C.S.

Alan M. Engler, MD, FACS (retired) · Answer

A small amount of "drippage" (not a medical term) can occur with injections of neuromodulators such as Botox, Xeomin and Dysport, but I am unaware of any harmful effects as a result of this.  It is reasonable to wash out your eye with a plain saline solution and to see your MD in routine followup, or even an ophthalmologist if you are particularly concerned, but I don't think there is a scientific basis for that concern.

	I hope that this helps and good luck,

	Dr. E

Xeomin Ran in my Eye Accidently What Should I Do? I'm Very Scared

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