Blepharospasm (BEB)

Benign essential blepharospasm (BEB) is a rare condition that causes the eyelids to spasm or uncontrollably close or blink from muscle contraction. BEB is, as its name suggests, a benign condition, because it does not damage the eyes, but patients may be blinded because of the inability to keep the eyelids open. The exact cause of BEB remains unknown. It usually occurs in both eyes and often worsens over time. Blepharospasm can be difficult to distinguish from other conditions and an accurate diagnosis often requires imaging of the brain.

​As our patient, you or your loved one will receive evaluation and treatment by one of our elite oculoplastic surgeons to determine the extent and cause of any eye disorder. There is no cure for blepharospasm, but treatments are available to alleviate the symptoms. Botulinum (Botox) injections are the most effective treatment, though ongoing injections are needed to maintain relief. Other treatment options include oral medication or surgery of the eyelids or brain. Treatment can also be aimed at reducing eyelid irritation, fatigue or other underlying conditions.

Most procedures may be performed at TOC’s outpatient surgical center, the Center for Aesthetic and Reconstructive Eyelid and Oculoplastic Surgery (CAREOS). Outpatient (ambulatory) surgery helps to reduce hospital costs, personal expense, and length of stay for patients needing surgery. CAREOS is one of the only ambulatory surgical centers in Central Texas solely dedicated to oculoplastic and laser aesthetic surgery. This means we are highly efficient in providing the specific care you need. For those times when surgery is best performed at a hospital, TOC physicians have surgical privileges at all Austin-area hospitals.

​We understand that any patient may feel anxious or apprehensive about treatment. Our goal is to help you or your loved one feel at ease. We engage each patient with sensitivity and respect for his or her individual needs.

More information about benign essential blepharospasm can be found at

If you would like more information on this condition, e-mail an inquiry to TOC at You may also schedule a private consultation with a TOC physician.

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