BOTOX™ at Jyotirmay Eye Clinic

  • Botox is Botulinum toxin A from the world’s most respected company, Allergan Inc. (USA)
  • Botox is a chemical that can be used to weaken an over acting muscle.
  • This weakening is transient and fully revesible.
  • Dr Mihir has done a fellowship in Neuro-ophthalmology with the inventor of Botox, Dr Alan Scott at San Francisco, USA.
  • Following this, Botox is made available to treat Squint, Hemi facial spasm and Essential Blepherospasm. (Non cosmetic use only)
  • The Botox clinic is conducted once a month so that treatment can be given at a subsidised cost.
  • The patients are expected to register for the Botox clinic well in advance.
  • This injection is best given under an electromyogram (EMG) control.
  • It is given in the eye muscle. Not in the EYE!
  • The injection takes only 2 minutes to give and it is painless.
  • An EMG can identify the muscle. It also informs the doctor about the ideal location within the eye muscle where the injection will be safe and more effective.
  • The effect starts in 6 hrs to 48 hrs. Maximum effect stays for 2-4 weeks. The injection effect slowly disappears in 6 weeks to 12 weeks.
  • Any side effect due to injection is usually fully reversible.
  • In young children, injection can be given under general anesthesia.
  • Main purpose of giving injection is to try to avoid a surgery yet effectively treat over action of the facila / extraocular muscles (squint).
  • We frequently use Botox to treat double vision in adults.

Safety and Side-effects

  • Initially there is an over correction.
  • Some patients may need more than 1 injections.
  • Squint surgery if necessary (IN 50%), can be performed later with full safety and efficacy after the injection.
  • Botox is costly. To reduce the cost it may be used in batch / salami (repeatedly from same vial over 4 -6 weeks).
  • When not used fresh, chances of reduced effectiveness &/or infection is present.
  • In young children, injection can be given under general anesthesia.
  • Main purpose of giving injection is to try to avoid a surgery/treat double vision in adults.
  • Under EMG control; side effects are rare = <1%
  • Commonest, reversible (7-10 days) side effect: drooping of lids = 20%
  • Infection and globe perforation = <0.001%