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Blepharospasm is the involuntary spasm of the eyelid muscles causing the eyelids to twitch, flutter or blink uncontrollably. As well as the psychological impacts and social embarrassment, this condition can also be significantly debilitating by causing difficulty in opening the eyes. The main treatment for this condition is Botox which needs to be given in a careful and planned manner. Mr Yadav has treated hundreds of patients with blepharospasm and will advise you on the correct treatment regime. 

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What causes blepharospasm?

In almost all cases the cause of Blepharospasm is unknown. The condition develops gradually but certain factors such as being tired, under stress, prolonged screen time and driving can make symptoms worse.  


How is blepharospasm treated?

The main treatment for blepharospasm is Botulinum Toxin (Botox) and is successful in over 90% of cases. Botox injections are given under the skin at specific sites taking care not to damage the eye or its function. The benefits of treatment start at around 2 days and usually last for up to 3 months. The treatment needs to be repeated regularly to keep symptoms under control.  

What are the side-effects of Botox for Blepharospasm?

In experienced hands, Botox is a very safe treatment. The main risks arise from an incorrect dose or incorrect site of administration. Problems can include a droopy eyelid, double vision, bruising and rarely damage to the eye relating to an inability to close fully. Mr Yadav will create a personalised treatment plan for you which will be updated as your symptoms evolve.   

Blepharospasm is a condition that causes involuntary muscle contractions in the eyelids. It can affect one or both eyelids, and it often causes the eyelids to close or spasm frequently, sometimes for several seconds at a time. Blepharospasm can be a frustrating and disruptive condition, and it can significantly impact a person's quality of life.

There are two main types of blepharospasm: essential blepharospasm and hemifacial spasm. Essential blepharospasm is the more common form, and it affects both eyelids. Hemifacial spasm, on the other hand, affects only one side of the face, usually the eye and muscles around the mouth.

The exact cause of blepharospasm is unknown, but it is thought to be related to problems with the brain and nervous system. It is often associated with other neurological conditions, such as dystonia, which causes abnormal muscle tone and contractions. Blepharospasm can also be caused by irritation or inflammation of the eye, or it can be a side effect of certain medications.

Symptoms of blepharospasm can vary from person to person, but they typically include frequent involuntary eyelid spasms, twitching, and closure of the eyelids. These spasms can occur several times per minute, and they can last for several seconds at a time. In severe cases, blepharospasm can cause the eyelids to close completely, which can interfere with a person's vision. Other symptoms may include sensitivity to light, tearing, and dry eyes.

Diagnosis of blepharospasm is typically done by a neurologist or an ophthalmologist. The doctor will perform a physical examination and ask about the patient's medical history, including any medications they are taking. They may also perform tests to rule out other conditions that could be causing the symptoms. These tests may include imaging tests, such as an MRI or CT scan, or electrophysiological tests, which measure the activity of the muscles and nerves.

There is no cure for blepharospasm, but there are several treatment options that can help manage the condition. These may include medications, such as botulinum toxin (Botox), which is injected into the muscles to relax them and reduce spasms. Other medications that may be used to treat blepharospasm include anticholinergics, which help block nerve signals that cause muscle contractions, and benzodiazepines, which help relax the muscles and reduce anxiety.

In addition to medication, other treatments for blepharospasm may include physical therapy, which can help improve muscle strength and control, and eye patches, which can be used to block light and reduce sensitivity. Surgery may also be an option for some people with blepharospasm, although it is usually only recommended for severe cases that do not respond to other treatments.

Living with blepharospasm can be challenging, but there are steps that people with the condition can take to manage their symptoms and improve their quality of life. These may include avoiding triggers that can worsen the condition, such as bright light or stress, and finding ways to relax, such as through exercise or meditation. It is also important for people with blepharospasm to stay in close communication with their healthcare provider and follow their treatment plan to ensure the best possible outcome.

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