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Difficulties with BoNT use in ophthalmology come up on account of toxin diffusion or inadvertent placement to the adjacent muscles. Ptosis of the eyelid is the most typical complication of BoNT treatment of strabismus and blepharospasms.23 Despite the fact that this effect is nearly always momentary and self-resolving, apraclonidine 0.five% (Iopidi