Condition: Blepharospasm 2017-10-12T10:24:21+00:00

Blepharospasm Overview

Talk to us about your current condition on:
020 7935 7990

The best way to figure out whether your specific condition can be treated or not is to give us a call. We can answer any questions you have and help you clarify which treatment options might be suitable for you.

There are different treatment options available for this condition and the most common ones are listed below:

Learn more about treatment options


What is a Blepharospasm?

Blepharospasm and hemifacial spasm are neurological conditions that affect the facial muscles. Blepharospasm affects the muscle around both eyes (orbicularis muscle), whilst a hemifacial spasm affects more muscles in one side of the face (eye, cheek, mouth, etc).

Causes of Blepharospasm

The cause of these diseases remains largely unknown. Patients with facial palsy may develop a form of blepharospasm when the nerve tries to grow back, known specifically as an ‘aberrant regeneration of the facial nerve’.
There are a small number of non-neurological causes of blepharospasm including severe dry eye, spastic entropion (eyelashes turning in towards eye) and severe photosensitivity.

With blepharospasm and hemifacial spasm, the appearance of the face also changes and social interactions are affected.

Symptoms for Blepharospasm

The symptoms of both belpharospasms, hemifacial spasms and aberrant regeneration spasms are related to the involuntary contractions of the muscles affected. These contractions can be very frequent or episodic. If the contractions affect the muscles around the eyes, discomfort, watery eyes, an inability to properly open the eyes or impeded vision may occur. If the muscles around the mouth are affected it may not be possible to eat or speak properly. Sometimes the contractions are painful.

Examination for Blepharospasm

A thorough ophthalmic examination is carried out to ensure that there are no eyelid or eye surface problems. The oculoplastic surgeon takes photographs and videos to document the face and eyelid movements. Sometimes a neurological examination and neuroimaging scans (CT-scan/MRI) are requested. Particular care is taken to observe which muscles are involved in the spasm so that a planning map of the face and peri-orbital area can be made for treatment with Botulinum Toxin A (e.g. Botox (r), Dysport (r), etc.).

Treatment for Blepharospasm

As the main problem in these conditions is muscle contraction, controlled paralysis of the muscles affected reduces the effects. This is done with Botulinum toxin A (Botox® or Dysport®) injected in small doses into the muscles with spasm. Great care is taken choosing the injection sites in order to minimise the risk of potential side effects. Blepharospasm can be treated effectively with Botulinum Toxin A injections every 3-4 months with only a few patients requiring surgery for ptosis or removal of orbicularis. In patients with hemi-facial spasm, care is taken when injecting close to the mouth in order to avoid drooling.

Before any injection of Botulinum Toxin A, it is advisable to take paracetamol to reduce the slight discomfort of the injections.

Ice packs are not required afterwards and you can go straight back to work.

What our patients say

“Dr Jane Olver was fantastic! She was so caring and sweet and it was clear that she knew what she was doing – very professional! I am absolutely over the moon with my results now!”
“If you have a similar problem, Jane Olver is your woman – I wish I had found her at the start. I will be forever grateful for her care and expertise.”
Nancy W.
“Just wanted to thank you for your exceptional assistance with my eye condition. I was so worried but you really helped me feel at ease.”
David T.
“Thank you for your help during the year”
Julia S.
“Just a quick note for saying thanks for looking after my Mum so wonderfully as she was very worried about the appointment and you really made such a big difference to the experience.”
Sven K.
“Thank you very much for seeing me yesterday, you were marvellous and a pride to the NHS”
Mariah P.
“From the moment I met her to the moment I left, I was treated with great courtesy and kindness, and everything was explained to me in layman’s terms so I could fully understand my condition. I was immensely impressed.”
“Many thanks to Mr Khan. His prompt diagnosis and explanation was very reassuring indeed.”
Heather M.
“Just keep up the good work Dr Khan. My wife, who accompanied me, and I were both very impressed by the care and consideration shown by the whole team when I had surgery. I just hope they haven’t lost the knack by the time I get my other eye fixed. joking apart the care of this team has made it a wonderful experience for me.”
David S.
“Dearest Brian, Merry Christmas and a Happy New Year! Competent, sensitive doctors like you are the prize of the medical profession! I am so grateful that my experience was so positive. Love you Olga from Estonia”
“Dear Mr. Leatherbarrow and the Staff at Clinica London, Just a little not to say thank you very much for the great work you did to my eyes and the treatment I received. I am delighted with the results. Kind regards, Alexia M.”
Alexia M.
“Dear Professor Michel Michaelides , Thank you very much for your letter of the 4th September 2012. Ths means so very much to myself and Victor, during this terrible stressful time. Ever sind my first consultation with you, the caring dedication and understanding I have received from you has been priceless. Thank you with all my heart. Wishing you a healthy and happy future. Yours sincerely Doreen S.”
Doreen S.
“Dear Dr. Michaelides, I just wanted to express mine and my parents gratitude for arranging to see us all today and taking the time to answer all our questions. We left with a much greater understanding of the issues involved with genetic testing, the potential pattern of inheritance I have, and a renewed optimism over advances that could be happening in the field. It was also very helpful and reassuring to see Dr Amar again and be introduced to Jonathan the genetic counsellor – please do pass on our thanks to them as well. Yours sincerely Rachael S.”
Rachael S.
“Dear Professor Michaelides ,
Well done and thank you! You saw me last November for my annual RP assessment. You recommended to see the Glaucoma unit which I duly attended last week. (There was a delay because I had a cataract op in February)I do indeed have glaucoma as well as RP. Thankfully glaucoma is likely to be treatable with drops, so now at last the deterioration in my sight may be least partially arrested. I hope you will recommend to the retinal team that all RP suffers are tested for Glaucoma at fitting intervals. Yours sincerely, Edmund S.”
Edmund S.
“Dear Professor Michaelides ,
On behalf of my mother as well as myself, I would like to thank you for the consultation we had with you last Friday regarding my Usher Type 2/ RP condition. The knowledge and advice you shared with us was much appreciated. Today I received copy of the letter which you sent to my GP as record of the consultation. You might recall I mentioned that I have and indoor cycling frame which is great for an ex-road cyclist. If you should have any other patients who have to give up cycling on the road, I can recommend the “e-motion rollers” which is an American product and allows cyclists to ride their actual bike without modifications – suitable only for road bikes with high tyre pressure. Kind regards, Chris B.”
Chris B.
“Thank you for this, it’s nice to know you got the information you needed and were treated with respect. The team at Clinica London are good and the key thing, as you say, is seeing someone with the speciality in retinal degeneration. David “
“Dear Michel, My wife and I wish to thank you for your kindness and attention with regard to my poor eyesight. Your caring attitude and honest approach to help relieve my problem and find the best solution is overwhelming. And it is with this in mind we would like to express our sincere thanks for everything you have done for me. Kind regards, Maurice K”
Maurice K.
“Mr. Reddy was extremely kind and his special ‘duck’ noises certainly helped catch Talia’s attention and helped his examination run smoothly. Mr. Reddy informed us that Talia’s squint was severe and that glasses would not help her. He explained that she would need surgery. We have recently seen Mr. Reddy and the Orthoptist for a follow up and everyone involved is really pleased with the results of the surgery, most of all it seems is Talia.”
Rebecca and Daniel Corney
“What I loved most was her willingness to take my knowledge of my disease and experience into consideration. I am very impressed and feel lucky to be in her care.”
Fiona M.
“Dr Crawley is always in such a good mood and always does her utmost to help. Best doctor I have ever seen!”
Matthew K.
“Dr Crawley has a wonderful manner, is clearly knowledgeable and is an asset to the hospital.”
Lisa A.
“Thank you for forwarding the medical report. Please convey my thanks to Jane, I was deeply impressed by the politeness and empathy shown to me. I found the surgery very peaceful and beautifully decorated and I hope to see Jane again soon.”
Jeffrey W.
“Dear Jane,
I just wanted to say thank you for seeing me at such short notice. I felt much better after speaking to you and being reassured. I am much calmer and actually got some sleep last night.
I would also like to thank Ingrid, who was so lovely and very professional.
Best wishes, Catherine M.”
Catherine M.
“Thank you for forwarding the medical report. Please convey my thanks to Jane, I was deeply impressed by the politeness and empathy shown to me. I found the surgery very peaceful and beautifully decorated and I hope to see Jane again soon. Jeffrey W.”
Jeffrey W.
“I highly recommend Jane Olver. The whole experience was calm,and highly professional..”
Lorraine M.

“Dear Both,

Many thanks for taking care of my ptosis surgery today.
I am now back home and resting but wanted to send a quick note to thank you for taking such good care of me.

Many thanks, Charmaine”


The Highest Quality

We are accredited with the major private health and professional specialty bodies who have bestowed upon us the qualifications to carry out aesthetic and medical treatments at the highest levels of quality.

Frequently Asked Questions

Botulinum toxin A is injected in clinic during a routine visit. The injection is made with a tiny needle, very slowly and gently.

We often inject botulinum toxin A into different areas of the face and neck as well around the eyes.

Most patients say that they feel little or no pain during the injections. If you feel you are more pain sensitive you can take painkillers and tranquilising tablets prior to arriving at the clinic.

There is also the option to apply an anaesthetic cream to the face 30 minutes before undergoing the procedure. The oculoplastic surgeon will discuss the various options with you.

You will not need any treatment or special advice after this procedure. Ice packs may help if there is a small amount of bruising.

You will not need any treatment or special advice after this procedure. Ice packs may help if there is a small amount of bruising.

Typically there is a review a few weeks after the procedure to check the final result. Follow up after these procedures depends on the patient. The Botulinum toxin works for a limited period of time (2–4 months).

Spasms will gradually get worse again and regular injections will be necessary to prevent symptoms.