Blepharospasms/Hemifacial Spasms Treatment

What Is Blepharospasm?

Blepharospasms/Hemifacial Spasms Treatment Bellevue WA | Seattle

Blepharospasm is an abnormal, involuntary blinking or spasm of the eyelids. Blepharospasm affects the eye muscles and usually begins gradually with excessive blinking and/or eye irritation. In the early stages it may only occur with specific precipitating stressors such as bright lights, fatigue, and emotional tension. It is almost always present in both eyes.

This condition does not effect an individuals vision or mental faculties. Vision is only affected by blepharospasm if the contractions become so intense, that it forces the eyelids closed. Blepharospasm can interfere with quality of life, it is important for people suffering to speak with a professional.

Symptoms of Blepharospasms

As the condition progresses, symptoms occur frequently during the day. The spasms disappear in sleep, and some people find that after a good night’s sleep, spasms do not appear for several hours after waking. In a few cases, spasms may intensify so that the eyelids remain forcefully closed for several hours at a time.

“I love Dr. Tarbet and her team! They are always so patient with me when I ask questions. Her team is always smiling and helpful.” -Sue

What Causes Eye Spasms?

Blepharospasm may develop spontaneously with no known precipitating factor or be inherited. Some people with blepharospasm have family members with dystonia affecting different body areas. Blepharospasm may be secondary due to drug exposure, or occur in association with disorders such as parkinsonian syndromes and Wilson’s disease.

Blepharospasm Treatment

One of the most effective treatments for blepharospasm/hemifacial spasms are regular botulinum toxin injection (Botox or Xeomin) to the affected muscles. The injections are painless and normally they last between 3-4 months. In most cases insurance will cover these injections, but only to the affected area.

Diagnosing Blepharospasms

Diagnosis of blepharospasm is based on information from the affected individual and the physical and neurological examination. At this time, there is no test to confirm diagnosis of blepharospasm, and, in most cases, assorted laboratory tests are normal.

Hemifacial Spasms

Hemifacial spasms are non-dystonic condition involving various muscles on one side of the face, often including the eyelid, and caused by irritation of the facial nerves.  The muscles contractions are more rapid and transient than those of blepharospasm, and the condition is always confined to one side.


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Dear Patients and valued Clients:

In preparation of your upcoming appointments, we have added additional safety measures to ensure your safety and well-being until further notice:

  • All visitors and patients are required to wear a face covering to their appointment or entering the clinic. You will remove your mask only when having your examination or treatment.
  • All patients will call the office when they arrive for their appointment so that a medical staff member will escort you to a private sanitized room.
  • All employees, visitors and patients are screened daily with health questions and temperature scans by our medical team.
  • Any Brilliant Distinction points should be redeemed prior to your appointment. After all transactions, the credit card terminal will be disinfected.
  • Hand sanitizer and antibacterial soap is available in each examination room, receptionist station, waiting room and restroom.
  • We will be cleaning exam chairs after each patient, all surfaces, ophthalmology lamps, and computer key boards after every patient.
  • If you do not feel well, we will be rescheduling any and all patients who don’t feel their best and/or suspect possible exposure. Please know this is for the safety of other patients and staff.
  • The office will continue to follow its regular disinfecting protocols for the front desk counter, waiting room counters, restrooms and door handles.
  • Our large facility and multiple patient rooms should accommodate social spacing to minimize unnecessary contact.


We will be scheduling patients far enough apart to provide an atmosphere where you will feel that your clinic provider is just there for you. We will be doing our best to practice social distancing. We appreciate your patience and understanding so that we can create a positive environment where you can come to your appointment and feel comfortable.

Warm regards, Dr. Kristin Tarbet & Team