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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Eyelid Closure After Botox For Hemifacial Spasms?

Hello
I was just diagnosed with Hemi facial spasms and have been injected with botox

but now my eyelid has closed and i can barely see ;(
I saw my dr and he said this was part of the nerve weakness, the facial spasm has stoped in the cheek but I cannot see out of my eye now and it looks really bad
What can u sugest??
I am a 32 yr old female 150lbs active
Sat, 21 Apr 2018
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Internal Medicine Specialist 's  Response
Hello,

Botulinum toxin acts by binding presynaptically to high-affinity recognition sites on the cholinergic nerve terminals and decreasing the release of acetylcholine, causing a neuromuscular blocking effect.

So, this effect leads to muscle palsy. Probably, your orbicularis oculi and palpibriae superiolaris muscle are affected by it.

It may take time to recover. Don't worry about it. Please consult your doctor who will examine and treat you accordingly.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Penchila Prasad Kandikattu
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What Causes Eyelid Closure After Botox For Hemifacial Spasms?

Hello, Botulinum toxin acts by binding presynaptically to high-affinity recognition sites on the cholinergic nerve terminals and decreasing the release of acetylcholine, causing a neuromuscular blocking effect. So, this effect leads to muscle palsy. Probably, your orbicularis oculi and palpibriae superiolaris muscle are affected by it. It may take time to recover. Don t worry about it. Please consult your doctor who will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu