What is Blepharospasm?

Blepharo means "eyelid". Spasm means "uncontrolledBEB occurs in both men and women, although it is
muscle contraction". The term blepharospasmespecially common in middle-aged and elderly women.
['blef-a-ro-spaz-m] can be applied to any abnormalThe early symptoms of blepharospasm include
blinking or eyelid tic or twitch resulting from anyoccasional, involuntary winking, blinking, or squinting of
cause, ranging from dry eyes to Tourette'sone or both eyes. It may also manifest itself as an
syndrome to tardive dyskinesia. The blepharospasmincreased difficulty in keeping the eyes open. Light
referred to here is officially called benign essentialsensitivity is a common occurrence with
blepharospasm (BEB) to distinguish it from the lessblepharospasm patients. As the condition progresses,
serious secondary blinking disorders. "Benign" indicatesthe eyelid spasms increase in frequency and severity
the condition is not life threatening, and "essential" isuntil they are unremitting, leaving both eyelids
a medical term meaning "of unknown cause". It isclamped shut and the eyebrows pulled down. In
both a cranial and a focal dystonia. Cranial refers tosome cases, only one eye is affected.
the head and focal indicates confinement to one part.A specific etiology for blepharospasm has yet to be
Blepharospasm is a type of dystonia, which indicatesidentified. Some patients with blepharospasm report a
a sustained muscular contraction of an involuntaryfamilial occurrence of the affliction. In families with
nature. Blepharospasm usually begins with a gradualautosomal dominant familial dystonia, affected
onset, often precipitated by eye irritation ormembers may have a generalized or segmental
emotional stresses. With progression of the disorder,dystonia, while other members have various focal
episodes of blepharospasm tend to worsen indystonias, such as isolated
severity, often resulting in embarrassment and evenblepharospasm.blepharospasm (BEB) is a rare
loss of vision temporarily due to lid closure. In someneurological disorder in which affected individuals
cases, the spasms are so prolonged and forceful thatexperience involuntary muscle spasms and
the patient is functionally blind for up to several hours.contractions of the muscles around the eyes. These
What causes Blepharospasm is largely unknown,spasms come and go (intermittent). Symptoms may
although some educated guesses are being made. Inbegin as eye twitching, blinking and/or irritation.
most cases, blepharospasm seems to developEventually, BEB causes involuntary closure of the
spontaneously. Some blepharospasm patients have aeyes. The exact cause of BEB is unknown. The
history of dry eyes and/or light sensitivity, but othersdisorder is one of a group of disorders collectively
report no previous eye problems before onset ofknown as dystonia.
initial symptoms.Excessive blinking and/or eye irritation usually signal
Generally, the spasms occur during the day, disappearthe onset of blepharospasm. Initially, it may only
in sleep, and reappear after waking. As the conditionoccur in response to triggers such as stress,
progresses, the spasms may intensify, forcing thetiredness or bright light. If the condition progresses,
eyelids to remain closed for long periods of time, andthe spasms happen more frequently. This not only
thereby causing substantial visual disturbance ormakes performing everyday tasks difficult, but may
functional blindness. It is important to note that themake it impossible for the affected person to see at
blindness is caused solely by the uncontrollable closingall.
of the eyelids and not by a dysfunction of the eyes.