Complications with BoNT use in ophthalmology crop up because of toxin diffusion or inadvertent placement in to the adjacent muscles. Ptosis of the eyelid is the commonest complication of BoNT treatment of strabismus and blepharospasms.23 While this outcome is nearly always temporary and self-resolving, apraclonidine 0.5% (Iopidine) or phenylepherin