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Effect on Tear Functions of Pretarsal and Preseptal Techniques of Botulinum Toxin Type A Injection in Hemifacial Spasm

Phase 2
Conditions
Hemifacial Spasm
Interventions
Drug: preseptal injection of botulinum toxin type A
Drug: pretarsal injection of Botulinum toxin type A
Registration Number
NCT01564979
Lead Sponsor
Khon Kaen University
Brief Summary

The purpose of this study is to determine whether pretarsal and preseptal techniques of Botulinum toxin type A injection have any effect on tear functions.

Detailed Description

Botulinum toxin type A has been used for hemifacial spasm since 1986. of Botulinum toxin type A can be subcutaneously injected at pretarsal or preseptal portion of orbicularis muscle. Blepharoptosis has been reported less frequently with pretarsal technique, however dry eye was noticed in one patient treated with pretarsal botulinum toxin type A for cosmetic purpose.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
26
Inclusion Criteria
  • patient diagnosed with hemifacial spasm
Exclusion Criteria
  • previous history of botulinum toxin treatment for hemifacial spasm
  • ocular surface disorders
  • tear disorders
  • evidence of infection at or around eyelids
  • pregnant woman
  • other neurologic disease, i.e. OMG
  • coagulopathy or treatment with thrombolytic agent
  • treatment with aminoglycosides, chloroquine, hydroxychloroquine

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
preseptalpreseptal injection of botulinum toxin type A-
pretarsalpretarsal injection of Botulinum toxin type A-
Primary Outcome Measures
NameTimeMethod
tear break up timechange from baseline in tear break up time at 12 weeks

unit of measure; minutes

Secondary Outcome Measures
NameTimeMethod
schirmer's testchange from baseline of schirmer's test at 12 weeks

units of measurement; millimeters

Trial Locations

Locations (1)

Khon Kaen University

🇹🇭

Muang, Khon Kaen, Thailand

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