Complications with BoNT use in ophthalmology occur due to toxin diffusion or inadvertent placement into the adjacent muscles. Ptosis of the eyelid is the most typical complication of BoNT treatment of strabismus and blepharospasms.23 Even though this outcome is nearly always momentary and self-resolving, apraclonidine 0.5% (Iopidine) or phenylepher