Frontalis suspension surgery for blepharospasm with apraxia of eyelid opening: a case report

Authors

  • Chung Kit, Jason CHAN
  • Kwok Lai, Hunter YUEN

Abstract

An 86-year-old man presented with benign essential blepharospasm with apraxia of eyelid opening unresponsive to botulinum toxin type A treatment. He was successfully treated with bilateral frontalis suspension with upper blepharoplasty. Postoperatively, he was able to open his eyes without difficulty and resume his daily activities.

References

Jordan DR, Anderson RL, Digre KB. Apraxia of lid opening in blepharospasm. Ophthalmic Surg 1990;21:331-4.

Roggenkämper P, Nüssgens Z. Frontalis suspension in the treatment of essential blepharospasm unresponsive to botulinum toxin therapy: long-term results. Graefes Arch

Clin Exp Ophthalmol 1997;235:486-9.

Kerty E, Eidal K. Apraxia of eyelid opening: clinical features and therapy. Eur J Ophthalmol 2006;16:204-8.

De Groot V, De Wilde F, Smet L, Tassignon MJ. Frontalis suspension combined with blepharoplasty as an effective treatment for blepharospasm associated with apraxia of

eyelid opening. Ophthalmic Plast Reconstr Surg 2000;16:34-8.

Dressler D, Karapantzou C, Rohrbach S, Schneider S, Laskawi R. Frontalis suspension surgery to treat patients with blepharospasm and eyelid opening apraxia: long-term results. J Neural Transm (Vienna) 2017;124:253-7.

Karapantzou C, Dressler D, Rohrbach S, Laskawi R. Frontalis suspension surgery to treat patients with essential blepharospasm and apraxia of eyelid opening: technique and results. Head Face Med 2014;10:44.

Wabbels B, Roggenkämper P. Long-term follow-up of patients with frontalis sling operation in the treatment of essential blepharospasm unresponsive to botulinum toxin therapy. Graefes Arch Clin Exp Ophthalmol 2007;245:45-50.

McCord CD Jr, Coles WH, Shore JW, Spector R, Putnam JR. Treatment of essential blepharospasm. I. Comparison of facial avulsion and eyebrow-eyelid muscle stripping procedure. Arch Ophthalmol 1984;102:266-8.

Hurwitz JJ, Kazdan M, Codere F, Pashby RC. The orbicularis stripping operation for intractable blepharospasm: surgical results in eighteen patients. Can J Ophthalmol 1986;21:167-9.

Chapman KL, Bartley GB, Waller RR, Hodge DO. Follow-up of patients with essential blepharospasm who underwent eyelid protractor myectomy at the Mayo Clinic from 1980 through 1995. Ophthalmic Plast Reconstr Surg 1998;15:106-10.

Hellman A, Torres-Russotto D. Botulinum toxin in the management of blepharospasm: current evidence and recent developments. Ther Adv Neurol Disord 2015;8:82-91.

Blackburn MK, Lamb RD, Digre KB, et al. FL-41 tint improved blink frequency, light sensitivity, and functional limitations in patients with benign essential blepharospasm. Ophthalmology 2009;116:997-1001.

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Published

2020-06-23

How to Cite

1.
CHAN CKJ, YUEN KLH. Frontalis suspension surgery for blepharospasm with apraxia of eyelid opening: a case report. Hong Kong J Ophthalmol [Internet]. 2020Jun.23 [cited 2024Apr.19];24(1):15-7. Available from: https://www.hkjo.hk/index.php/hkjo/article/view/246

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Section

Case Report