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Problems with BoNT use in ophthalmology come up due to toxin diffusion or inadvertent placement in to the adjacent muscles. Ptosis in the eyelid is the commonest complication of BoNT treatment of strabismus and blepharospasms.23 While this impact is almost always short-term and self-resolving, apraclonidine 0.five% (Iopidine) or phenylepherine hydr