Blepharospasm causes involuntary blinking or eyelid closure that can significantly disrupt daily life. Treatment aims to reduce spasms and keep the eyes comfortably open.
First-line and medical therapy
Botulinum toxin injections are the main treatment for most people. Small doses are placed in the eyelid muscles at regular intervals.
- Injections relax overactive muscles for several months
- Effects typically start within a few days and peak by two weeks
- Doses and sites are adjusted to balance benefit and side effects
- Lubricating drops help treat any associated dry eye
Surgical and supportive options
Some patients need additional support if injections are not enough. Care is tailored to symptom severity and lifestyle.
- Myectomy surgery to remove portions of overactive muscle in resistant cases
- Tinted glasses or sensory tricks that temporarily ease spasms
- Stress management and support groups to reduce impact on wellbeing
- Regular follow-up to refine treatment as needs change
