Acta clinica Croatica, Vol. 59. No. 2., 2020.
Other
https://doi.org/10.20471/acc.2020.59.02.25
Surgical Aspect of Blepharospasm Treatment: a Case Report
Kristijan Dinjar
; Faculty of Medicine in Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Maxillofacial and Oral Surgery, Osijek University Hospital Centre, Osijek, Croatia
Vedran Zubčić
; Faculty of Medicine in Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Maxillofacial and Oral Surgery, Osijek University Hospital Centre, Osijek, Croatia
Andrijana Kopić
; Faculty of Medicine in Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Ophthalmology, Osijek University Hospital Centre, Osijek, Croatia
Vlatko Kopić
; Faculty of Medicine in Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Maxillofacial and Oral Surgery, Osijek University Hospital Centre, Osijek, Croatia
Bruno Popić
; Faculty of Medicine in Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Maxillofacial and Oral Surgery, Osijek University Hospital Centre, Osijek, Croatia
Dubravka Holik
orcid.org/0000-0003-3409-8029
; Faculty of Medicine in Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Abstract
Blepharospasm is an idiopathic condition characterized by involuntary eyelid closure mainly caused by bilateral tonic-clonic contractions of the orbicularis oculi muscle. It results in patient inability to open their eyes, thus significantly impairing their ability to perform activities of daily living. First-line treatment for blepharospasm are primarily botulinum toxin type A injections. However, surgical procedure as a treatment option can also be taken in consideration. In this overview, we present a case of a 75-year-old female patient who received surgical treatment as per Anderson’s method after being treated with botulinum toxin type A for 3 years. This form of therapy proved to be an extremely successful permanent solution in the treatment of severe cases of refractory blepharospasm, without any long-term complications, especially ectropion and lagophthalmos.
Keywords
Blepharospasm; Anderson’s method; Botulinum toxin type A
Hrčak ID:
243726
URI
Publication date:
1.6.2020.
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