Lower lid entropion correction using botulinum toxin

Entropion is defined as an inversion of the lower lid border, it may have several etiologies, however the most common form of presentation is associated with the aging process. This clinical condition is mostly relevan due to the ophthalmological and aesthetic complications it may unleash. Surgical procedures are the standard form of management, nevertheless, several factors may hinder their use. For this reason minimally invasive or temporary procedures have been developed to treat this deformity, among them the use of botulinum toxin has been reported. Case report: We present the case of an 82-year-old female diagnosed with involutional entropion who rejected any surgical procedures. After failing conservative measures 12 units of botulinum toxin were applied in the lower lid, obtaining resolution of the entropion for a period of 16 weeks. Discussion and conclusions: Botulinum toxin is a viable, accesible and effective alternative for the temporary management of involutional entropion, especially in patient do not wish to or cannot be subjected to surgical procedures.