Neuro-Ophthalmology

Benign Essential Blepharospasm (BEB)



BEB is a condition in which uncontrolled blinking, squeezing and eyelid closure occur in both eyes without outside stimulation or other apparent cause. It occurs in middle age and affects more women than men.

Symptoms

As the condition progresses, spasms occur more often throughout the day. Although vision is not compromised, frequent spasms may interfere with the patient’s ability to do ordinary tasks such as driving, reading, walking and shopping.

Treatment Options

The most effective treatment for blepharospasm is therapeutic botulinum toxin, called BOTOX. A small quantity is injected under the skin, on both sides of the face, to relax and weaken the muscles in order to prevent spasms. The effect usually wears off in 3 to 6 months and injections may be repeated.

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