“…The strabismic indications for Botulinum toxin injection range from small to moderate angle, comitant strabismus with potential for binocularity [12,13], adjuvant procedure following incisional strabismus surgery [14], paralytic strabismus to relieve diplopia and to prevent contraction of the antagonist muscle [15][16][17][18][19], restrictive strabismus example thyroid eye disease [20,21], Congenital and acquired nystagmus and oscillopsia [22], Internuclear ophthalmoplegia [23] and convergence spasm [24]. To the best of our knowledge, this is the first prospective study in Pakistan looking at the effect of botulinum toxin injection on strabismic patients with and without binocularity potential.…”