Benign Essential Blepharospasm (BEB)

Benign essential blepharospasm (BEB) is a rare, neurological disorder that causes involuntary contractions of the muscles around the eyes. This leads to repetitive and prolonged eye closure, making it difficult for individuals to keep their eyes open and perform daily activities such as reading, watching TV, and driving. The exact cause of BEB is unknown, but it is believed to be related to abnormal activity in the basal ganglia, a part of the brain that controls movement.

Symptoms of BEB typically begin gradually and include:

• Twitching or spasms of the eyelids
• Increasing difficulty keeping the eyes open
• Light sensitivity
• Blurred vision
• Dry eyes

Diagnosis of BEB is typically made through a physical examination and a review of the patient’s symptoms. A neurological exam and imaging tests such as an MRI or CT scan may also be done to rule out other conditions.

Common treatment methods for BEB include:

Botulinum toxin injection: This is the most effective treatment for BEB, and it works by temporarily paralyzing the muscles that cause the spasms.

Oral medications: Medications such as anticholinergics and benzodiazepines can also be used to help reduce symptoms of BEB.

Surgery: In severe cases, surgery may be recommended to remove the affected muscle or nerve.

There is no known way to prevent BEB from occurring. However, maintaining a healthy lifestyle through regular exercise, a balanced diet, and stress management can help to reduce the risk of developing this condition. Corporate health and wellness programs can also play a role in preventing BEB by promoting healthy habits and providing regular health check-ups.