Blepharospasm Blepharospasm can be treated with medications, biofeedback, injection of botulinum toxin, and surgery. Medications and biofeedback are rarely successful in managing blepharospasm.
Botulinum toxin injections are now the most commonly recommended treatment for blepharospasm. Injection of botulinum toxin in very small quantities into the muscles around the eyes will stop the spasm. The injection works for several months but will slowly wear off and usually needs to be repeated 3 to 4 times each year.
The treatment is very successful with few side effects. On rare occasions when side effects occur, they include drooping of the eyelids or double vision. Side effects typically last 1 to 2 weeks while the good effects last 3 months. Surgery to remove the involved muscles is occasionally needed in addition to botulinum toxin therapy.
Hemifacial Spasm Botulinum toxin injections can relieve the eyelid and facial spasms in patients with hemifacial spasm. A neurosurgical procedure for hemifacial spasm, microvascular decompression, also can relieve the facial spasms.
While it is generally successful, it is a major neurosurgical operation and serious complications are possible. Botox may ease severe spasms for a few months. However, as the effects of the injection wear off, you may need further injections. Surgery to remove some of the muscles and nerves in the eyelids myectomy can also treat more severe cases of benign essential blepharospasm.
Eyelid twitches have many causes. The treatment that works and the outlook varies depending on the person. Twitches related to stress, lack of sleep, and other lifestyle factors have the best outlook. If an underlying health condition is the cause, then treating the underlying condition is the best way to relieve the twitching.
Read this article in Spanish. Learn about its symptoms, diagnosis, and treatment. Blepharitis is inflammation of the eyelash follicles. Allergies, mites, dandruff, and certain medications may increase the likelihood of this….
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Find out what you can do to manage your symptoms. Here's what to do for eye…. Droopy eyelids can affect more than your appearance. Over time, they can start to limit your field of vision and impact your ability to see.
Health Conditions Discover Plan Connect. Share on Pinterest. What causes eyelid twitches? The exact cause of the condition is unknown, but the following may make spasms worse: blepharitis , or inflammation of the eyelid conjunctivitis , or pinkeye dry eyes environmental irritants, such as wind, bright lights, sun, or air pollution fatigue light sensitivity stress too much alcohol or caffeine smoking Benign essential blepharospasm is more common in women than in men.
Blepharospasm may last a few seconds to a few hours , and some people may not be able to see during that time. Doctors think that a problem with the nerves around the eyes causes essential blepharospasm but are unsure why it develops. Hemifacial spasm is a rare condition that causes the muscles on one side of the face to contract.
Sometimes , this begins near the eye, causing eyelid spasms before affecting other areas of the face. Hemifacial spasm can occur on its own, due to something pressing on the nerves that control the facial muscles, or as a result of another condition. Eyelid myokymia often stops on its own. However, if a person wants to stop or reduce this symptom, they can try:.
More severe or persistent eyelid spasms, such as blepharospasm and hemifacial spasm, may require medical treatment. Scientists are not exactly sure what causes eyelid myokymia. It is a widespread condition that can occur in healthy individuals for no apparent reason.
It appears to be linked to lifestyle factors, such as:. The side effects of some medications, including topiramate , flunarizine, and clozapine, can also cause eyelid twitching. However, this is uncommon. A study from Taiwan on chronic eyelid twitching found that around half of the participants had differences in nerve function. This might be due to a nerve conduction defect, explaining why some people develop a long-lasting twitch. The authors of the study suggest that it may be because females, particularly in China, may experience higher levels of stress than males due to societal or cultural pressures.
Overall, though, more research is necessary. Doctors do not know what causes blepharospasm, but it can sometimes be related to underlying conditions, such as :. The underlying conditions that can cause hemifacial spasm are similar and include :. Many of the known triggers for mild eye twitching are lifestyle-related, so people may be able to prevent this symptom by changing their daily routine.
This may mean:. If eye twitching occurs frequently, people may find it helpful to record when it happens and note down any other contributing factors. This may help someone identify a pattern.
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