Botox isn’t just used for cosmetic purposes—it can also be an effective treatment option for certain cases of adult strabismus.
At PES Adult Strabismus Center, we specialize in advanced, personalized care for adults experiencing eye misalignment, including nonsurgical options like Botox injections. This treatment may help improve eye alignment and reduce symptoms such as double vision in very select patients.
In this article, we’ll explain how Botox works, who it may benefit, and what to expect from the procedure. To find out if Botox is the right treatment for your strabismus, schedule a consultation with PES Adult Strabismus Center.
How does Botox help treat strabismus in adults?
Botox helps treat adult strabismus by relaxing certain extraocular muscles, which allows the eyes to move into better alignment. At PES Adult Strabismus Center, occasionally we can use a small dose of botulinum toxin injected directly into the tight muscle to help reduce the pulling force that causes misalignment. The effect usually begins within a couple of days, reaches its peak in two weeks, and may last about three to four months.
Who is a good candidate for Botox instead of eye muscle surgery?
Botox is a good fit for adult patients who have a tight muscle or adult’s with a type of strabismus that is expected to be temporary. It’s especially helpful for people with temporary eye muscle problems caused by nerve palsy or for those with thyroid eye disease who may have more risks with surgery. Additionally, sometimes Botox can also be used in tandem with surgery. We tailor each treatment plan based on your diagnosis, overall health, and vision goals.
Is Botox as effective as surgery for treating adult strabismus?
For the right patient, Botox can be nearly as effective as strabismus surgery, especially when the misalignment is recent or mild. While surgery usually gives longer-lasting results, Botox offers a less invasive option that still improves visual perception for some people. At PES Adult Strabismus Center, we help patients decide based on their unique needs—whether they want something more permanent or are just looking to reduce diplopia and feel more comfortable with how their eyes align.
Can Botox help me avoid strabismus surgery altogether?
In some cases, yes—Botox can help you avoid or delay the need for surgery. For patients with a recent onset of strabismus, Botox may provide enough improvement that surgery isn’t needed. However, for more complex or long-standing strabismus, especially involving deeper or longstanding changes in the skeletal muscle, surgery may still be the better option. We’ll help you figure out which path makes the most sense for you.
Request Your Consultation Today!
Receive a call from our senior leadership team before your appointment.
Are there any risks or side effects of Botox for strabismus?
Most patients tolerate Botox very well. The most common side effect is ptosis, or a temporary drooping of the eyelid, which usually resolves on its own within a few weeks. Some may experience short-term diplopia or irritation at the injection site. At PES Adult Strabismus Center, we use precise tools to deliver the right dose and limit the chances of any adverse effect. We also make sure each patient understands the full picture before moving forward with treatment.
How does recovery from Botox compare to recovery from surgery?
Recovery after Botox is quick and easy. Most of our patients return to normal activities the same day with no downtime. There’s no incisions to the muscles, no hospital stays, and no change to the structure of the human eye. This makes Botox especially appealing to adults who want a lower-risk treatment. On the other hand, strabismus surgery often involves more recovery time and a slightly higher risk of side effects like scarring. At PES Adult Strabismus Center, we walk you through both options and help you choose the one that best fits your lifestyle.
Can Botox be used long-term to manage adult strabismus?
Yes, some adults use Botox as part of a long-term management plan. Someone might choose regular injections every few months to keep their eyes aligned and avoid the need for strabismus surgery. Since the injection doesn’t damage the extraocular muscles, it can theoretically be repeated safely. Our team at PES Adult Strabismus Center carefully monitors each patient’s response and adjusts the medication as needed. This gives you flexibility and control over your care without committing to a permanent procedure unless you’re ready.
Why choose PES Adult Strabismus Center for Botox treatment?
PES Adult Strabismus Center is dedicated to helping adults with eye misalignment see more clearly and comfortably. Our doctors are experts in ophthalmology and specialize in treating strabismus with both nonsurgical options like Botox and advanced surgical techniques when needed. We use state-of-the-art tools and trusted medicine to deliver care that’s precise, safe, and tailored to your needs. Whether you’ve just noticed a change in your eye alignment or have been dealing with it for years, we’re here to provide the support and information you need to make the right decision.
Let PES Adult Strabismus Center Help You See More Clearly
If you’re tired of dealing with misaligned eyes or double vision, PES Adult Strabismus Center can help you find a solution. Whether it’s Botox injections or another proven therapy, we’ll guide you through your options and help you feel confident about your next step. Schedule a consultation today and discover what’s possible—with better alignment, better comfort, and better quality of life.