Blepharospasm is a disorder of the muscles that control eyelid movement. Spasms of the eyelid lead to frequent blinking. Blepharospasm often affects both eyelids, making it difficult to open the eyelids. In severe cases, this debilitating condition can lead to what is known as "functional blindness" because the patient is unable to open or keep open the eyelids for any significant period of time.

Doctors diagnose blepharospasm based on key signs and symptoms. In the early stages of blepharospasm, patients may complain of irritation and discomfort of the eyelids as well as an increase in blinking. As the blepharospasm progresses over two years, blinking usually becomes more frequent, forceful, and uncontrollable. Bright, dazzling, or flickering lights, dusty or smoky air, or high-speed travel by train or car can make the symptoms worse.

Speaking with one of our physicians is the best source of information about your condition and its treatment. However, there are several organizations that you may also find helpful:

When injected directly in the affected eye muscles, the neurotoxin relieves the muscle spasm. Although the effect is temporary, BOTOX® can be reinjected approximately every three months as long as the patient continues to respond and does not have a serious allergic reaction.1 Reduced blinking from BOTOX® injection of the orbicularis muscle can lead to corneal exposure, persistent epithelial defect and corneal ulceration, especially in patients with VII nerve disorders.

Neurologists, neuro-ophthalmologists, ophthalmologists and oculoplastic surgeons. However, look for one that specializes in blepharospasm and has experience injecting botulinum toxin.

There are some drugs belonging to a class called "dopamine receptor blocking agents" (DRBAs) that may aggravate blepharospasm and Meige symptoms. BEBRF does not advocate any particular drug treatment option; therefore, it is strongly suggested that patients do not change medications without first consulting with their physician.

It is possible that there may be some "disposition" for blepharospasm that can be inherited, but it has not been identified. Back

Drugs used to treat benign essential blepharospasm require a prescription and physician supervision. It requires trial and error to find a drug that helps. Some of these drugs may have severe side effects, may lose effectiveness over time, and may be addictive. When stopping these drugs, under a doctor's supervision, they must be tapered off and not stopped abruptly.

BEBRF does not advocate any particular drug treatment option; therefore, it is strongly suggested that patients do not change medications without first consulting with their physician.