Use of botulinum toxin in strabismus.

Abstract:

PURPOSE OF REVIEW:The history, pharmacology, indications, complications, and success rates of botulinum administration are discussed in this review as they relate to strabismus and associated conditions. RECENT FINDINGS:Botulinum has been used to treat strabismus and a variety of other ocular conditions for over three decades. Alan Scott initially investigated extraocular muscle paralysis by botulinum injection in 1973, and in the ensuing years botulinum has been evaluated as a treatment for horizontal and vertical strabismus, nystagmus, dissociated vertical deviation, sensory strabismus, ophthalmoplegia, and paradoxical diplopia. SUMMARY:Botulinum administration is a strabismus treatment option that may be considered for some strabismus patients; in select cases botulinum is a reasonable and preferable alternative to surgery. Current clinical recommendations regarding botulinum should be considered in the context of the existing comparative studies that are summarized in this review. Since there are very limited data directly comparing the success rates of botulinum with standard strabismus surgery, additional, well designed prospective studies are needed. Data from such studies would enable recommendations for strabismus management to be formulated using an evidence-based approach.

journal_name

Curr Opin Ophthalmol

authors

Crouch ER

doi

10.1097/01.icu.0000243018.97627.4c

subject

Has Abstract

pub_date

2006-10-01 00:00:00

pages

435-40

issue

5

eissn

1040-8738

issn

1531-7021

pii

00055735-200610000-00005

journal_volume

17

pub_type

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