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Original ArticleOpen Access
Botulinum Toxin Treatment for Upper Lid Retraction of Dysthyroidism
Chuenkongkaew W 
Six patients with upper eyelid retraction due to dysthyroidism at Siriraj Hospital received sub-
cutaneous botulinum toxin treatment at a dosage of 5-20 units per injection. Five patients experienced
an improvement in the lid retraction lasting at least 40 months and 3 patients required more than one
injection. Botulinum toxin injection is an alternative treatment for the upper eyelid retraction of dys-
thyroidism, which is effective and causes minimal side effects, particularly in patients with euthyroid
status.
Key word : Botulinum Toxin, Upper Eyelid Retraction, Dysthyroidism
cutaneous botulinum toxin treatment at a dosage of 5-20 units per injection. Five patients experienced
an improvement in the lid retraction lasting at least 40 months and 3 patients required more than one
injection. Botulinum toxin injection is an alternative treatment for the upper eyelid retraction of dys-
thyroidism, which is effective and causes minimal side effects, particularly in patients with euthyroid
status.
Key word : Botulinum Toxin, Upper Eyelid Retraction, Dysthyroidism
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