Blepharospasm: What is it?
Symptoms You May Experience:
Examination: What Your Eye Doctor Will Look For:
What You Can Do:
When To Call Your M.D.:
Treatment:
Prognosis: Will I See Better?
Blepharospasm
is a condition in which the muscles in the eyelids and around the eyes
twitch uncontrollably. Both eyes are typically affected together,
and the spasms usually begin as mild twitches and can progress to
forceful blinking. The cause of blepharospasm is unkown.
Older patients tend to be affected most often, and women are slightly
more prone to the disorder than men. Severe blepharospasm can
limit a person's ability to read, drive, or perform other daily
activities.
You may notice frequent, repeated twitching of your eyelids or forceful blinking of both eyes that you cannot control.
Your eye
doctor will watch your eyelid movements to determine if blepharospasm
is present. He or she will also look for any other causes of
excessive blinking, such as dry eye syndrome.
There is no
proven way to avoid the development of blepharospasm. If
blepharospasm is causing your eyes to feel irritated, artificial tear
drops, lubricating ointment, or both can help.
If you
notice the symptoms of blepharospasm, call your ophthalmologist.
Although blepharospasm itself is not dangerous, treating the disorder
can make you much more comfortable.
The main
treatment of blepharospasm is an injection of Botox into the muscles in
the eyelids and around the eyes to paralyze them. The toxin will
begin working within 2-3 days, and its effects typically last for about
3-4 months, after which the spasms usually reoccur and the botulinum
toxin can be injected again. If Botox is not effective and the
blepharospasm is severe, surgery can be considered. Your
ophthalmologist will remove some of the surrounding eye muscles to
control the blepharospasm permanently.
While
blepharospasm is a long standing disorder, most cases can be treated
successfully with botulinum toxin injections. Surgery to remove
the muscles, which is rarely needed, is also often successful in
reducing the spasms.
Above:
Areas Where Botox Is Injected To Relieve Blepharospasm.