Botulinum toxin: Is it injector error, side effects or complications

This course is designed to improve clinical practice and improve the treatment, management and administration of botulinum toxin for blepharospasm, hemifacial spasm, bells palsy, gustatory lacrimation and entropion.


Developed by Moorfields Adnexal Nurse Consultant Nicola Dunlop and delivered in conjunction with Adnexal Consultant Surgeon Daniel Ezra, the course discusses the causes of Botulinum toxin injections side effects and complications and teaches safe injection techniques to minimise these, especially through ophthalmic errors.

You will learn through a combination of lectures, complex case discussions and live injection sessions.

Learning outcomes

This course will:

  • Explore the causes of botulinum toxin injections side effects and complications.
  • Use research to advance the knowledge of practitioner to avoid errors.
  • Present complex cases for discussion.
  • Provide a live clinical injection session and practical tips.
  • Offer 4 optional observation sessions (these will be bookable separately after the course at an additional cost of £200).
Who is this study day for?

This is an advanced course intended for practitioners who injection the adnexa of the eyes and face including doctors, neurologists, physiotherapists, dystonia and aesthetic nurse/practitioners. It will incorporate basic elements as a reminder.

CPD Certification

CPD points and certificate of attendance will be awarded at the end of the course.

Next course date

The next course will take place on Monday 8 July 2024.

No places available at the moment


Course fees


Taught by


Nicola Dunlop

Nicola Dunlop qualified as a registered general nurse in 1995 and has worked in Ophthalmology since qualifying. She commenced her Ophthalmic nursing studies at Moorfields Eye Hospital in 1998. Over the last 15 years her role has evolved. On completion of the Ophthalmic nursing studies she worked in the Operating Theatre. Nicola proceeded to successfully complete the Ophthalmic Theatre Course, Mentorship and Counselling Courses. Nicola was promoted to Sister then subsequently to the post of an Ophthalmic Nurse Specialist in the Oculo-plastic/Adnexal Department. She consolidated her academic achievements by successfully undertaking Non-medical Prescribing, Post graduate Diploma in Health Management and a Masters in Health Management. Drawing on her extensive ophthalmic nursing experience, Nicola pioneered the first Nurse-led Botox Clinic, Minor Surgery List, Virtual Histology Reporting Service and Post-Operative Clinic and developed the adnexal patient pathway currently in use in the Oculo-plastic/Adnexal Service. She has developed a patient education DVD on Coping with Loss of an Eye and Minor operative guideline for Nurses. She has been awarded from the British Thyroid Foundation the Evenly Ashley Award 2013 for developing the DVD Thyroid Eye Disease and its Management & Audit. The defining drive for Nicola is to improve continually, the quality of compassionate patient care in its many facets.

Dan Ezra

Daniel Ezra is a consultant and Service Director for Oculoplastic Surgery at Moorfields Eye Hospital. He has special interest in complex endolacrimal surgery having published numerous articles and lectures widely internationally on the subject. He is also the endoscopic lacrimal surgery lead at Moorfields. Dan graduated from Cambridge and London Universities with degrees in Medicine and the History and Philosophy of Science. After higher surgical training at Moorfields Eye Hospital, he developed endoscopic surgical skills through an interface fellowship in plastic and reconstructive surgery.