Treatment of Blepharospasm in XXXX : Botulinum Toxin A Injection or Surgery.

@entity1 @entity85 @entity1610 @entity74
UNASSIGNED: @entity1610 is an @entity74 that comprises facial and @entity85 . Hereby, the authors report 2 cases of @entity1610 and surgical method of their management. First case was a @entity1 who was result of twin delivery whose sibling was completely normal. Second case was a @entity1 who was the first @entity1 of her family. Both were born to a consanguineous marriage. Both had developed characteristic facial expressions of @entity1610 between 18 and 24 months of age. They had Botulinum toxin A injection (twice in the first and ones in the second case) with no improvement. Both were referred because of being functionally blind due to inability to open the eyelids around age 3.5 years. Orbicularis oculi myectomy, partial corrugator muscle excision, levator tucking, and lateral tarsal strip procedure was performed on both cases. No complication and no recurrence of eyelid contraction were observed after 4 years and 6 months follow up in the first and second case, respectively.
