The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.




Photo by Professor Chua Chung Nen

This 63-year-old woman complained of ocular irritation and problem with eye opening. She was given a variety of eye drops including artificial tears by different doctors and ophthalmologists without improvement. Examination showed only minimal dry eyes and the problem with eyelid opening was due to blepharospams involving the orbicularis, corrugator and procerus. The symptoms improve rapidly with botox injection of the above muscles. 



Next Oculoplastic and Trauma Case