---
title: How is blepharospasm treated?
description: "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…"
url: "https://bluefinvision.com/knowledge-base/topics/treatments-procedures/how-is-blepharospasm-treated/"
updated: "2025-12-16"
category: "Treatments & Procedures"
---

# How is blepharospasm treated?

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