Patient with blepharospasm and apraxia of lid opening shown in figure 1 after the obvious spasms have stopped. The patient is still unable to open the eyelids. The patient is elevating the brows, posturing the head and opening the mouth in an attempt to open the eyes.

Figure 3. Patient with longstanding blepharospasm. Note brow ptosis, eyelid ptosis, dermatochalasis, laxity of eyelids and midface and rhytids and wrinkles. The aging changes of the eyelids and face are aggravated by spasms. [Back to text]