There is widespread awareness of the use of botulinum toxin as an antiageing treatment, but it is a lesser-known fact that it can also be an excellent treatment for misalignment of the eyes, known as strabismus. Adults with strabismus (commonly referred to as squint) suffer clinically significant levels of depression and anxiety; higher than those with other chronic illnesses such as diabetes and rheumatoid arthritis. Patients undergoing corrective restoration of eye alignment report significantly better quality of life on both functional and psychosocial scores after treatment.1-6
In some cases, surgery is not possible or patient preference is towards a less-invasive treatment. In the majority of cases, botulinum toxin to the extraocular muscles provides an alternative treatment.7-10
This article aims to highlight how effective treatment with botulinum toxin A (BoNT-A) can be in adult strabismus and increase awareness of its benefit for this condition, which can have debilitating…