Orbital Cellulitis and Abscess After Botulinum Toxin Injection: A Case Report

Orbital cellulitis is a sight-threatening condition that can lead to abscesses, intracranial complications, and vision loss. The objective of this article is to discuss the case of an otherwise healthy 37-year-old woman who developed orbital cellulitis complicated by a periorbital abscess after botulinum toxin injections. About a week after Botox injections, this patient slowly developed left periorbital erythema and edema and was admitted to the hospital for a total of 2 weeks. Despite treatment with antibiotics, she went on to develop a soft tissue abscess that needed prompt drainage with ultrasound guidance. This case highlights an uncommon but serious complication of botulinum toxin injections. Cases of orbital cellulitis should be treated early with antibiotics and monitored closely for the development of an abscess. Early intervention in the case of abscess formation is paramount to relieve pressure and prevent permanent vision damage.