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Crocodile tears syndrome: Spontaneous tearing in parallel with the normal salivation of eating. The crocodile tears syndrome occurs most often following facial.

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Description:Successful treatment of crocodile tears by injection of botulinum toxin into the lacrimal gland. Botulinum toxin-A affects neurotransmission by inhibiting the release of acetylcholine at the neuromuscular junction and at cholinergic autonomic nerve terminals 1,5, 6,14, If that the earth could teem with woman's tears, Each drop she falls would prove a crocodile. Botulinum toxin has been applied both transcutaneously and transconjunctivally to the lacrimal gland in patients with crocodile tears syndrome 2,5,6, The adverse effects, due to the paralytic action of botulinum toxin, have been reported to involve the palpebral muscle, lateral rectus and superior rectus 1, Symptoms completely improved one week after application and no complications occurred in the related eye and adnexes. Fundus examination was bilaterally normal.

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