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Difficulties with BoNT use in ophthalmology come up due to toxin diffusion or inadvertent placement in to the adjacent muscles. Ptosis from the eyelid is the most typical complication of BoNT treatment of strabismus and blepharospasms.23 Even though this influence is nearly always non permanent and self-resolving, apraclonidine 0.5% (Iopidine) or p