Abnormal involuntary eyelid closure and facial movements can often be debilitating. It occurs without the person control, with little warning. It can affect a person’s ability to see and have a considerable effect on their self- confidence, self-esteem and ability to socialise.
Over the last 25 years, Mr Uddin has treated many patients experiencing eyelid and facial spasms. He directed the Blepharospasm and Toxin Service at Moorfields Eye Hospital for 15 years, establishing the nurse-led toxin treatment. This service originally established by Professor Richard Collin is the largest of its kind in the country.
“Involuntary eyelid and facial movements can be a sign of blepharospasm, hemifacial spasm, myokymia and synkinesis, as well as side-effects of certain drugs. It’s important to accurately identify the condition and the underlying cause. There are many effective treatment options available to improve the symptoms”.
What is blepharospasm?
Blepharospasm is an excessive contraction of the eyelid muscles, which cause the eyelids to close. It may start in one eye to begin with, but frequently people have it in both. Those with a blepharospasm may experience rapid, frequent blinking or twitching, or difficulty opening their eyelids (eyelid apraxia). Sometimes it can worsen when a person is stressed or tired, or when exposed to bright light. In rare cases, the blepharospasm may also be associated with involuntary facial movements including the lower face, mouth and neck.
Is surgery used to treat blepharospasm?
Botox can be combined with a surgical procedure called an extended blepharoplasty (orbicularis stripping). This involves removing some of the orbicularis oculi muscle and a small amount of skin from the eyelid. This procedure is similar to a cosmetic upper eyelid blepharoplasty and can enhance the aesthetic of a person’s face and is completed under local anaesthetic.
In combination with ptosis surgery (strengthening of eyelid opening), it can be very effective.
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