{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T09:09:02Z","timestamp":1784020142157,"version":"3.55.0"},"reference-count":14,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T00:00:00Z","timestamp":1755043200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:p>\n                    <jats:bold>Purpose:<\/jats:bold>\n                    To report a unique case of bilateral isolated inferior oblique muscle paralysis (IOP) causing torsional diplopia following facial botulinum toxin (BTX) injections. Case report: A 37-year-old female presented with acute-onset torsional diplopia, exacerbated in primary and upward gaze, and alleviated on downward gaze. Neurological evaluations, including cranial\/orbital MRI and neostigmine testing, were negative. Ophthalmic examination demonstrated bilateral incyclotorsion, consistent with bilateral IOP. History revealed recent periocular BTX injections for infraorbital rhytids, and experienced post-injection dizziness that necessitated a 30-min recumbent position. Notably, diplopia risk was undisclosed during consent. Symptoms resolved spontaneously within a week and did not recur over three years.\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    This case emphasizes the need for careful injection practices, proper post - injection care, informed consent, and vigilance for atypical symptoms to prevent and manage BTX - related ophthalmic complications.\n                  <\/jats:p>","DOI":"10.1177\/11206721251367813","type":"journal-article","created":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T15:04:50Z","timestamp":1755097490000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Acquired bilateral inferior oblique muscle paralysis following facial injections of botulinum toxin"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1215-4595","authenticated-orcid":false,"given":"Xuhong","family":"Zuo","sequence":"first","affiliation":[{"name":"Yantai Yuhuangding Hospital, Qingdao University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongmei","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Yantai Harbour Hospital, Yantai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,8,13]]},"reference":[{"key":"e_1_3_2_2_2","volume-title":"Binocular vision and ocular motility: theory and management of strabismus","author":"Von Noorden GK","year":"2002","unstructured":"Von Noorden GK, Campos EC. 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