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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 id orcid.org/0000-0003-3409-8029 ; Faculty of Medicine in Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia


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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

https://hrcak.srce.hr/243726

Publication date:

1.6.2020.

Article data in other languages: croatian

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