•The diagnosis of Blepharospasm is always delayed and the patient has access to treatment 5 years on average after onset.
•Botox injections are the most efficient treatment of the Blepharospasm and can control the spasm for about 3 months.
•Not all the Blepharospasm are the same; each patient requires a personalised Botox scheme of injections, tailored to their own type of Blepharospasm; a lot of poor response to Botox treatment are due to inappropriate targeting of the muscles around the eyes.
•In particular spasms of the eyelids (so called, apraxia of eyelid opening or eyelids dystonia) require injections along the eyelashes, called pretarsal injections for a good response to treatment. Dr Marion is specialised in pretarsal injections, into the eyelids itselves, for treating this type of Blepharospasm, called Apraxia of eyelid opening. It’s one of the main reasons of failure of treatment of Blepharospasm.
•If the dystonia has spread to the lower part of the face, the patient in addition to the eye closure has involuntary spasms of the mouth, tongue, jaw. ( called Meige Syndrome). The treatment needs to address all the facial muscles affected by the dystonia as the treatment of only the eyes spasms will not be sufficient.
Blepharospasm, apraxia of eyelid opening, Botox treatment of Blepharospasm,personalised treatment of Blepharospasm, Pretarsal injections, injections into the eyelids, Meige syndrome.