Before surgery is recommended, patients are advised to try safe, potentially efficacious, nonsurgical therapy such as botulinum toxin injections. Functionally impaired patients with blepharospasm who have not tolerated or responded well to medication or botulinum toxin are candidates for surgical therapy. A controlled clinical trial of a new form of this drug is recruiting 30 patients. More about the trial Supportive Forms of Treatment Stress makes all movement disorders, including blepharospasm, worse. Some patients may benefit from a course of stress management from an occupational therapist.
Patients learn their own coping techniques which they share with others at support group meetings.
Dark glasses are the commonest aid. They fulfill two functions. They reduce the intensity of sunlight which bothers many people with blepharospasm, and they hide the eyes from curious onlookers. This fear of sustained spasms occurring while driving, crossing the road, socializing, walking, or taking part in some sporting activity, etc. becomes overwhelming, and the patient stays at home in familiar, safe surroundings. Support from family and friends is important.