Blepharospasm, Hemifacial Spasm & BOTOX Treatment Specialist

What causes blepharospasm?

Blepharospasm describes a condition where the eyelid twitches every few seconds, sometimes causing the eye to close completely. In most cases, eye twitching lasts a relatively short period of time and occurs unpredictably over the course of days, weeks or months. In some patients, it can become chronic, occurring on a regular basis and in both eyes. This condition is called benign essential blepharospasm. Many factors can contribute to blepharospasm, including:

• dry eye syndrome

• light sensitivity

• conjunctivitis (pink eye)

• eyelid inflammation (blepharitis),

• nervous system disorders

• fatigue

• smoking

• caffeine or alcohol

When eyelid spasms do not resolve within a few weeks or if you notice twitching in other areas of your face, your eyelid is red or swollen, or you have difficulty opening your eye, you should see the doctor for an evaluation.

What causes hemifacial spasm?

Hemifacial spasm causes uncontrollable twitching on one side of your face. Several factors can cause the condition, including Bell's palsy, tumors, injury to the facial nerve or compression of the nerve by a blood vessel which results in irritation of the nerve. In nearly all cases, twitching begins near the eye and moves toward the chin as the condition progresses. It most commonly affects women and people over age 40.

How are blepharospasm and hemifacial spasm treated?

Both blepharospasm and hemifacial spasm can be treated with BOTOX. BOTOX works by blocking the nerve signals that cause the facial muscles to contract, the same way it helps prevent crow's feet and frown lines from forming in cosmetic surgery applications. BOTOX injections typically last several months before retreatment is needed. Dr. Bose will be able to determine which facial muscles require injection based on your symptoms and the data he gathers during your physical exam. Other treatment options include medication and surgery to decompress the nerves.

Additional information here.