Blepharospasm
Treatment for involuntary eyelid spasms — including neurotoxin injections, medication, and surgical options to reduce symptoms and improve quality of life.
Treatment
Neurotoxin injections
Frequency
Every 3–4 months
Insurance
Usually covered
Blepharospasm Treatment
Blepharospasm is an abnormal, involuntary spasm (twitching) of the eyelids. The underlying etiology is associated with the basal ganglia, an area of the brain which affects involuntary muscle control.
Blepharospasm often starts with a gradual increase in blinking and periocular spasm. Strength and intensity can increase and affect facial muscles. Spasms can become very severe and affect activities of daily living such as driving and reading.
Patients are often light-sensitive and experience facial fatigue. Triggers include sunlight, stress, wind, and noise. Sleep and rest can improve symptoms.
How It Works
There is no cure for blepharospasm to date, but several treatments can help decrease symptoms. Dr. Rosh will discuss an individualized plan. Neurotoxin injections into the eyelid and face paralyze spasming muscles, usually covered by insurance every 3–4 months.
Risks & Side Effects
Oral medications can be used but are often unpredictable and provide short-term relief. A surgical option (myectomy) involves removing the eyelid muscle. Alternative treatments like biofeedback, acupuncture, and hypnosis are options but have not been proven.
Frequently Asked Questions
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