Eyelid Spasm and Twitching Treatment
How is blepharospasm treated?
There are a few options for treating blepharospasm. The most effective treatment is botulinum toxin injections (shots), a muscle-relaxing substance. A very slender needle is used to inject the medicine into muscles above and below your eye. Spasms begin to disappear anywhere from a day to 2 weeks after the injection. This relief lasts about 4 months.
If injections are not helpful or recommended, some medications may help for blepharospasms. Your ophthalmologist will work to find the right mix of medicines to help. It is a matter of finding the right balance between benefits (how medicine helps) and side effects (problems that medicine can cause).
Surgery is an option when injections and medicine do not work. There are two common types of surgery for essential blepharospasm. One type removes the facial muscle that is causing spasms. Another type removes a portion of the nerve to make spasms less severe.
Your ophthalmologist will discuss treatment options for your case of blepharospasm.
How is a hemifacial spasm treated?
Most people with hemifacial spasms find treatment with botulinum toxin injections to work well. As with blepharospasm treatment, these injections are used to relax the nerve in hemifacial spasms.
Occasionally, drug treatments are used, but they are generally less effective than injections. Rarely, surgery is used to relieve pressure on the nerve.
Your ophthalmologist will discuss which type of treatment is right for you.