FAQs

Blepharospasm

Benign Essential Blepharospasm (BEB) is a neurologic condition of unknown origin in which there is episodic, involuntary closure of the eyelids. Patients have episodes of blinking, twitching and inability to open their eyes, which impairs their vision.  Blepharospasm can also be associated with dry eye, blepharitis, certain medications, and other eye conditions.

The treatment of choice for Blepharospasm is botulinum toxin injections (Botox) performed every 3-4 months. About 90% of patients respond to Botox treatments. Surgery is another option to weaken the muscles (myectomy) that cause the involuntary eyelid closure.  The Benign Essential Blepharospasm Research Foundation (BEBRF) is a good resource for patients suffering from this condition.

Hemifacial spasm

Hemifacial spasm is a neurologic condition characterized by frequent, involuntary contractions and twitching of one side of the face. In many cases the cause is unknown, but it can be associated with an abnormal blood vessel pushing on the facial nerve, tumors, or injury. Imaging of the facial nerve to rule out a blood vessel abnormality is an important initial test. If no anatomical cause is identified, then usually Botox injections are recommended every 3-4 months to lessen the involuntary muscle contractions.

Dr. Joos sees patients for consultations with Blepharospasm and Hemifacial Spasms and can recommend the best type of treatment. Please contact us if you have questions about Blepharospasm or Hemifacial spasm.