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Blepharospasm

  • Article
  • 2021-01-31

Blepharospasm (also called benign essential blepharospasm) is blinking or other eyelid movements, such as twitching, that you cannot control.

Eyelid twitches usually go away on their own. But people with benign essential blepharospasm can develop severe and chronic (long-lasting) eyelid twitching.

What are the symptoms of blepharospasm?

Blepharospasm usually starts with small twitches in the eyelid that occur from time to time. Over time, the twitching can become more common and close your eyes completely. That can make it difficult to do everyday things like reading or driving.

Some people also have facial convulsions (jerks in other parts of the face).

If my eyelids are twitching, do I have blepharospasm?

Not necessary. Benign essential blepharospasm is rare, and many different things can cause eyelid twitching, including stress, dry eyes, too much caffeine, and lack of sleep. Usually the twitching will go away on its own.

Sometimes eyelid twitching can occur as part of other health problems, such as Parkinson's disease, Meige syndrome, and Tourette syndrome. And it is a side effect of certain medications.

See your eye doctor if:

  • Your eyelids continue to twitch for more than a few weeks
  • Your eyes close completely when they vibrate
  • Other parts of your face start to vibrate, such as the muscles on one side of your face

What Causes Blepharospasm?

Blepharospasm occurs when the part of the brain that controls your eyelid muscles stops working properly. Sometimes blepharospasm runs in families, and women ages 40 to 60 are more likely to develop it. But in most cases, doctors don't know what's causing it.

How does my eye doctor check for blepharospasm?

Your eye doctor can check for blepharospasm as part of a comprehensive eye exam. They will also ask you about your medical history and family medical history.

What is the treatment for blepharospasm?

There is no cure for blepharospasm, but there are treatments that can help with your symptoms.

Injections . Your eye doctor can inject a medicine called Botox into your eyelid muscles to stop them from twitching. Most people need an injection every 3 to 4 months.

Surgery . If injections don't work for you, your doctor may recommend an operation called a myectomy. In a myectomy, a surgeon will remove some of the muscle or nerve tissue from your eyelids to help stop the twitching.

Lifestyle changes such as managing your stress, getting enough sleep, and eating or drinking less caffeine (such as coffee, tea, or soda) can also help.

If another condition is causing your eyelids to twitch, treating that condition can stop the twitching.   For example, if you have dry eyes, your doctor may recommend eye drops or medications to help water your eyes. Read more about dry eyes .


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