Troubles with BoNT use in ophthalmology come up as a result of toxin diffusion or inadvertent placement in the adjacent muscles. Ptosis from the eyelid is the most common complication of BoNT treatment of strabismus and blepharospasms.23 Despite the fact that this influence is nearly always short-term and self-resolving, apraclonidine 0.five% (Iopi