The Effect of Periorbital Botox Injection on the Eye

Botox injection in the periorbital region affects the looks and the levels of the eye brows,it could cause elevation of the eye brows and could cause eye brow ptosis. This study evaluates the effects of Botox injection on the eye brows and lids and its effect on the dryness of the eye and the possible complications like bruising, ectropion and eye lid ptosis. This study is presenting the data of 150 patients who had local Botox injection in the periorbital muscles to treat wrinkles around the eye. The study showed that there was significant improvement in the level of the eye brows with an elevation of about 2.4 mm. There was in significant difference in the dryness of the eyes or in the interpalpebral distance before and after injection. The most common side effect was pain (36.6%) followed by bruising(28%),eyebrow ptosis (6%), lower lid ptosis (1.3%), lower lid puffiness (4%). There were no cases of upper eye lid ptosis. Key words: Botox,eye brows, eye lids,eyelid ptosis, eye examination,dry eye