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Blepharospasm

Blepharospasm The term Blepharospasm, from Blepharo (eyelid) and spasm (uncontrolled muscle contraction), can relate to any abnormal tic or twitch of the eyelid. However, it is normally distinguished from less serious disorders and refers to Benign Essential Blepharospasm, a focal dystonia (a neurological movement disorder involving involuntary and sustained muscle contractions) of the muscles around the eyes. more...

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Symptoms

  • Uncontrollable tics or twitches of the eye muscles and surrounding facial area
  • Excessive blinking of the eyes, or forced closure of durations longer than the typlical blink reflex
  • Dryness of the eyes
  • Sensitivity to the sun and bright light

Causes

In most cases, blepharospasm seems to develop spontaneously. Its causes are generally unknown, but likely from abnormal functioning of the brain's basal ganglia. Concomitance with dry eye, as well as other dystonias such as Meige's syndrome been observed. Some drugs can induce blepharospasm, such as those used to treat Parkinson's disease.

Treatment

  • Drug therapy: Drug therapy for blepharospasm has proved generally unpredictable and short-lasted. Finding an effective regimen for any patient usually requires patience of patient and physician.
  • Botulin toxin injections
  • Surgery: Those patients that have not responded well to medication or botulinum toxin injection are candidates for surgical therapy. The most effective surgical treatment has been protractor myectomy, the removal of muscles responsible for eyelid closure.
  • Dark glasses, for sunlight sensitivity as well as to cover one's eyes from other people.
  • Stress management and support groups can help sufferers deal with the disease and prevent social isolation.

Links

  • Support Groups (BEBRF)

Read more at Wikipedia.org


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Blinking a bitch? Could be a twitch - myokymia, twitching around the eye - Brief Article
From Men's Fitness, 10/1/03

IT SEEMS to come out of nowhere: an uncontrollable twitching around the eyelid, usually in the lower region. This fluttering, known as myokymia, is common yet poorly understood. Stress, fatigue, irritation around the eye, and too much caffeine are often associated with myokymia, which affects the nerve fibers within the muscle.

The condition is nothing to worry about--usually. In rare cases, it can be a precursor to a disorder known as benign essential blepharospasm, which occurs synchronously in both eyes and is characterized by a squeezing of the eyelids.

"If the twitching is on both sides, is persistent, and lasts longer than a month, a person should seek medical attention from an ophthalmologist or a neurologist," says Richard L. Anderson, M.D., medical director of the Center for Facial Appearances in Salt Lake City. "If it's something that happens for several days, then goes away for several months and then comes back again as twitching, it's probably just myokymia."

Treatment is rarely needed for myokymia. But "if it's driving you nuts," Anderson adds, Botox--the toxin-based drug so popular for ironing out wrinkles--can be used for any facial-spasm disorder. It'll also get rid of those worry lines you get when you think about injecting poison into your face.

COPYRIGHT 2003 Weider Publications
COPYRIGHT 2003 Gale Group

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