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CASE REPORT
Year : 2021  |  Volume : 1  |  Issue : 3  |  Page : 582-584

Botulinum toxin: A surgery-sparing strategy for cyclic esotropia


Department of Pediatric Ophthalmology and Strabismus, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Coimbatore, Tamil Nadu, India

Correspondence Address:
Dr. D S Srushti
Department of Pediatric Ophthalmology and Strabismus, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Coimbatore, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2896_20

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Cyclic esotropia is associated with alternating periods of esotropia and orthotropia within a defined cycle, occurring typically in pre-school children. Therapeutic options include surgery which is based on strabismic day angle, or injection of botulinum toxin into the medial rectus muscle. The latter is a simpler, less invasive, and potentially surgery sparing option causing a temporary drug-induced muscle paresis and providing enough opportunity to regain the fusion potential. We report one such case of childhood cyclic esotropia treated with injection botulinum toxin.


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