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Complications with BoNT use in ophthalmology occur due to toxin diffusion or inadvertent placement into the adjacent muscles. Ptosis with the eyelid is the commonest complication of BoNT treatment of strabismus and blepharospasms.23 While this result is nearly always momentary and self-resolving, apraclonidine 0.five% (Iopidine) or phenylepherine h