J Korean Ophthalmol Soc > Volume 50(3); 2009 > Article
Journal of the Korean Ophthalmological Society 2009;50(3):331-335.
DOI: https://doi.org/10.3341/jkos.2009.50.3.331    Published online March 15, 2009.
Clinical Comparability of Dysport and Botox in Essential Blepharospasm.
Jae Ho Shin, Chan Jeon, Kyung In Woo, Yoon Duck Kim
1Department of Ophthalmology, East-West Neo Medical Center, KyungHee University College of Medicine, Seoul, Korea.
2Department of Ophthalmology, HanKang Sacred Heart Hospital, Hallym University, College of Medicine, Seoul, Korea.
3Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University College of Medicine, Seoul, Korea. ydkimoph@skku.edu
본태눈꺼풀연축 환자에서 디스포트와 보톡스 효과 비교
신재호1ㆍ전 찬2ㆍ우경인3ㆍ김윤덕3
Department of Ophthalmology, East-West Neo Medical Center, KyungHee University College of Medicine1, Seoul, Korea / Department of Ophthalmology, HanKang Sacred Heart Hospital, Hallym University, College of Medicine2, Seoul, Korea / Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University College of Medicine3, Seoul, Korea
Abstract
PURPOSE
To compare the clinical efficacy, duration of effect, and safety of Dysport and Botox for patients with essential blepharospasm using functional disability scale. METHODS: Patients with a confirmed diagnosis of essential blepharospasm who had received Botox (Allergan, USA) from September 2006 to May 2007 were enrolled in this study. We switched from Botox to Dysport (Ipsen, UK) after the botulinum effect of previous injection had disappeared and compared the clinical efficacy of two drugs. We used a 2.5:1 Dysport:Botox conversion ratio. The clinical efficacy of the drugs treatment was evaluated using a functional disability scale. We compared the duration of the effect and the safety of the two drugs. RESULTS: The study included 48 patients (43 women, 5 men). There was no significant difference in mean functional disability scores or in any item of the functional disability scale. There was no significant difference in duration of effect between Botox (100.2+/-37.34 days) and Dysport (99.1+/-39.7days). There was also no significant difference in frequency of adverse reaction between Botox (13%) and Dysport (10%). CONCLUSIONS: When a dose conversion of 2.5:1 Dysport:Botox was used for essential blepharospasm patients, the two drugs displayed almost identical clinical efficacy, duration of effect, and safety.
Key Words: Botulinum neurotoxin A;Conversion ratio;Essential blepharospasm


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