Nuevas gotas pueden ser utiles en la caida de parpados como complicacion luego de Toxina botulinica para arrugas.

Dermatologic Surgery

Effect of Low-Concentration, Nonmydriatic Selective Alpha-Adrenergic Agonist Eyedrops on Upper Eyelid Position

Dermatol Surg 2016 Dec 02;[EPub Ahead of Print], TB Mendonça, AP Lummertz, FJ Bocaccio, F Procianoy 

• Ptosis is a potential complication after botulinum toxin treatment, and apraclonidine is traditionally recommended for management. Because apraclonidine is not commercially available in Brazil any longer, this study evaluated alternative options including brimonidine 0.2%, phenylephrine 0.12%, and naphazoline 0.05%. In this nonrandomized clinical trial, 20 healthy participants were divided into three groups and given drops in their left eyes. The upper margin reflex distance (MRD1) and pupil size were measured 30, 60, and 120 minutes after administration. The MRD1 increased significantly after treatment with naphazoline (0.56 mm after 30 minutes). No statistically significant difference in mean MRD1 was noted in participants given brimonidine and phenylephrine.

• Naphazoline may be useful for the management of upper eyelid ptosis.

  – Sarah Churton, MD

Benjamin Hidalgo-Matlock

Skin Care Physicians of Costa Rica

4000-1054

2208-8206

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