What is blepharospasm?

Blepharospasm is a neurological disorder in which a person experiences involuntary and sustained contractions of the muscles around the eyes. Initial symptoms are eye irritation and twitching which later worsen to frequent or forced blinking. This disorder affects both eyes at once. In the most severe cases, a person may be unable to open their eyes for several minutes. Spasms may appear during the daytime and disappear when the person is sleeping.

Blepharospasm affects a person’s physical and emotional well being and it should be treated well.

What are the treatment options?

Botox injections:

Botulinum toxin injections are the most effective first line treatment of blepharospasm and can control the spasm for about 3 months. It reduces the hyperactivity of the muscles around the eyes.


Myectomy, a surgical procedure to partially or completely remove the muscles and nerves of the eyelids, is also a possible treatment option. This can be a very effective treatment for the appropriate case.

With the perfect combination of medical and surgical treatments, the vast majority of patients regain the normal functioning of the eye and face muscles.


There are various forms of medication available and you may be asked to try these medications to determine if they are effective. In some patients, the results of oral medication are usually moderate and temporary.