Endophthalmitis Following Inadvertent Intraocular Botulinum Toxin A Injection

J Pediatr Ophthalmol Strabismus. 2023 Mar-Apr;60(2):e8-e10. doi: 10.3928/01913913-20221229-02. Epub 2023 Mar 1.


Botulinum toxin A injection is a safe alternative procedure to surgery in the management of different types of strabismus. Serious complications such as globe perforation are rare in expert hands. The authors report a case of a child known to have a muscle-eye-brain disease with high myopia who developed endophthalmitis following inadvertent penetrating intraocular botulinum toxin A injection for strabismus correction. To their knowledge, this serious complication after penetrating botulinum toxin A injection has not been previously reported. [J Pediatr Ophthalmol Strabismus. 2023;60(2):e8-e10.].

Publication types

  • Case Reports

MeSH terms

  • Administration, Ophthalmic
  • Botulinum Toxins, Type A* / administration & dosage
  • Botulinum Toxins, Type A* / adverse effects
  • Endophthalmitis / diagnosis
  • Endophthalmitis / etiology
  • Eye Injuries, Penetrating
  • Humans
  • Infant
  • Intraocular Pressure
  • Male
  • Strabismus*
  • Walker-Warburg Syndrome* / complications


  • Botulinum Toxins, Type A