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Intractable orbicularis myokymia: treatment alternatives
D R Jordan1, R L Anderson, S M Thiese
1Oculoplastic Service, Department of Ophthalmology, University of Utah School of Medicine, Salt Lake City.
Ophthalmic Surgery
|April 1, 1989
Summary
Orbicularis myokymia, characterized by eyelid twitching, often resolves spontaneously. For persistent cases, treatments like botulinum-A toxin injections and surgical myectomy offer effective solutions.
Area of Science:
- Ophthalmology
- Neurology
Background:
- Orbicularis myokymia involves intermittent, involuntary eyelid muscle fasciculations.
- This condition commonly affects young, healthy individuals and is typically transient.
Purpose of the Study:
- To evaluate the efficacy of limited orbicularis myectomy and botulinum-A toxin injections.
- To present these treatments as options for intractable cases of orbicularis myokymia.
Main Methods:
- Case study of five patients with intractable orbicularis myokymia.
- Treatment involved either limited surgical myectomy or botulinum-A toxin injections.
Main Results:
- Both limited orbicularis myectomy and botulinum-A toxin injections were found to be efficacious.
- These interventions provided successful management for the selected intractable cases.
Conclusions:
- Limited orbicularis myectomy and botulinum-A toxin injections are effective treatment options.
- These methods should be considered for managing persistent or progressive orbicularis myokymia unresponsive to conservative measures.