Abstract
Ceylon Medical Journal (CMJ) is a peer-reviewed, open access journal published quarterly by the Sri Lanka Medical Association in the last week of March, June, September and December each year. The mission of the CMJ is to promote the science and art of medicine and betterment of public health. The Journal publishes original papers and commentaries which have relevance to medicine and allied sciences. The CMJ is committed to maintaining and conforming to the editorial and ethical standards recommended by the International Committee of Medical Journal Editors.
Highlights
Blepharospasm is a state of involuntary forceful closure of the eye and it is a condition predominantly affecting females
Bilateral blepharospasm may be seen in basal ganglia disorders, especially Parkinsonism
A 60-year old woman who was diagnosed with severe blepharospasm for four years presented with symptoms of gastro-oesophageal reflux disease (GORD)
Summary
Blepharospasm is a state of involuntary forceful closure of the eye and it is a condition predominantly affecting females. Unilateral and repeated brief blepharospasm is a focal dystonia and may be part of hemi facial spasm. Bilateral blepharospasm may be seen in basal ganglia disorders, especially Parkinsonism. The combination of blepharospasm and oromandibular dyskinesia is known as Meige syndrome. There are only few treatments which are effective in treatment of blepharospasm. The introduction of botulinum toxin for symptomatic management has revolutionized its management and improved the quality of life of patients, but it has limitations. Some patients do not improve, in others it becomes less effective with time and requires frequent use which is costly. Though anticholinergic and tranquillizing drugs are effective they are not as effective as botulinium toxin
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