Blepharospasm

KOLOA, Hawaii — Proper patient communication is the key to achieving good outcomes when administering botulinum toxin, according to a speaker here.

A 42-year-old white female was referred to our clinic by her optometrist for an evaluation of spasms of her right upper and lower eyelids. The patient reported that these spasms began within the last 2 years. They occur every day and are continuous throughout the day. The spasm would sometimes involve the ipsilateral cheek area. The patient did not recall any specific cause for the spasms, but the symptoms seemed to get worse throughout the day and with caffeine intake. She was uncertain whether the spasms persisted while asleep. She also reported increased light sensitivity. The patient denied any reduced hearing, vertigo or balance issues.