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Eyelid Disorders

Spasms

There are three common types of eyelid spasms:

  • Eyelid twitch (tic)
  • Bepharospasm and
  • Hemifacial spasm

Eyelid Twitch

Eyelid twitch or tic in one part of a lid.

Treatment

It most often subsides without treatment.

Hemifacial Spasm

Hemifacial spasm affects one side of the face. Most commonly symptoms begin near the eye and progress downwards. It is thought to be the result of an artery pressing on the facial nerve at the base of the brain.

Treatment

Botulinum toxin (Botox) injections, repeated on average every 6 months, are the best treatment. Neurosurgery procedure or oral medications may offer some relief.

Blepharospasm

Benign essential blepharospasm, involving both eyes which close involuntarily and for varying periods, is caused by abnormal nerve impulses. Benign because it does not affect anywhere else and essential because the cause is unknown.

Treatment

Currently the best treatment is with botulinum toxin (Botox) injections, repeated on average every 3 months.

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