Benign Essential Blepharospasm Follow-up

Updated: Jul 12, 2017
  • Author: Robert H Graham, MD; Chief Editor: Edsel Ing, MD, MPH, FRCSC  more...
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Follow-up

Further Outpatient Care

Treatments such as botulinum toxin injections usually provide temporary relief from blepharospasm, and long-term follow-up care is needed.

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Inpatient & Outpatient Medications

See Pharmacotherapy.

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Complications

Complications of benign essential blepharospasm may include the following:

  • Ptosis following botulinum toxin injection
  • Palsy after seventh denervation
  • Scarring and edema after myectomy
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Prognosis

Botulinum toxin and myectomy help to control blepharospasm but may not cure it.

Botulinum toxin A is a safe, long-term treatment for patients with benign essential blepharospasm, but sustained treatment efficacy may require higher doses in later stages of the disease. [67]

Botulinum toxin injections are sometimes still required following myectomy of the eyelid protractors.

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Patient Education

Inform patient and family of the BEBRF.

For excellent patient education resources, see eMedicineHealth's patient education article BOTOX® Injections.

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