Blepharospasm

Blepharospasm

Blepharospasm, or benign essential blepharospasm (BEB), is a rare neurological condition characterized by sustained, involuntary closure of the eyes. The exact cause is unknown. It affects more woman than men. In its extreme form, it can result in the patient being functionally blind because of the eyes involuntarily clampdown. In less extreme forms, it may result in frequent blinking, sensitivity to light, fluttering of the eyelids and difficulty seeing. BEB can be treated with oral medications with some improvement but possible side effects. This is not typically fist line. Occasionally surgery is indicated. A very common, successful treatment is with botulinum toxin (i.e. Botox®, Xeomin®) injections around the eyes. These injections are performed in the office with minimal discomfort, no downtime, and are covered by insurance. Results typically last three to five months, depending on the patient and the severity of symptoms. Board-certified ophthalmologist, fellowship-trained oculoplastic surgeon, Katherine J. Zamecki-Vedder, MD, FACS, has examined and treated hundreds of patients with BEB.