A 29-year-old woman presents with occasional twitching of both eyelids. What could be the cause?

Plastics Coach #20

Analysis

Benign essential blepharospasm (BEB) is idiopathic but can be associated with other movement disorders such as Parkinson's disease.

BEB occurs in women more often than men. The classic presentation is episodes of bilateral blepharospasm. Patients may be able to identify a trigger(s) such as exposure to sunlight, stress, or fatigue. BEB can result in significant visual limitations with reduced quality of life. Management includes medical therapy and surgery.

In this 16-minute video featuring Dr. Ahsen Hussain, assistant professor at Dalhousie University in Nova Scotia, we'll review:

  • How to diagnose benign essential blepharospasm
  • How to differentiate benign essential blepharospasm from other causes of blepharospasm
  • Management for benign essential blepharospasm
 

Plastics Coach Tip

Blepharospasm that is unilateral with associated hemi-facial spasm may not be BEB and should be investigated further.

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