Comments on: Apraxia of Eyelid Opening http://eyemd.wordpress.com/2006/10/08/apraxia-of-eyelid-opening/ Ophthalmology and Oculoplastic Surgery for Asians and Mixed Asians Wed, 11 Nov 2009 20:16:44 +0000 http://wordpress.com/ hourly 1 By: Nancy Leeson http://eyemd.wordpress.com/2006/10/08/apraxia-of-eyelid-opening/#comment-2864 Nancy Leeson Fri, 04 Sep 2009 05:37:12 +0000 http://eyemd.wordpress.com/2006/10/08/apraxia-of-eyelid-opening/#comment-2864 Only two weeks ago I began to awaken and could not open my eyes. It is now consistently a problem. It takes 5 seconds to get them open. Once open, I need to blink a couple of times to get them to stay open. This only occurs after REM sleep. I had a mild conjunctivitis that went away. That's when it started. For several days I did have red eyes and crust. Also, exactly two weeks ago, I changed my contact lenses to another prescription/brand. I am female, 44 years old. Otherwise no motor function loss, healthy, nutrition-minded and active. Only two weeks ago I began to awaken and could not open my eyes. It is now consistently a problem. It takes 5 seconds to get them open. Once open, I need to blink a couple of times to get them to stay open.
This only occurs after REM sleep.
I had a mild conjunctivitis that went away. That’s when it started. For several days I did have red eyes and crust.
Also, exactly two weeks ago, I changed my contact lenses to another prescription/brand.
I am female, 44 years old. Otherwise no motor function loss, healthy, nutrition-minded and active.

]]> By: Ben Darwish http://eyemd.wordpress.com/2006/10/08/apraxia-of-eyelid-opening/#comment-2857 Ben Darwish Sat, 30 May 2009 23:06:52 +0000 http://eyemd.wordpress.com/2006/10/08/apraxia-of-eyelid-opening/#comment-2857 I recently had frontalis suspension for eyelid apraxia and it has just progressed. When I first got the surgery about 3 months ago it seemed to be a little better but from there it has gotten worse. Please if you will, advise me on other treatment since I feel I am at my ropes end, or is ther nothing else I can do? Thank you for any help you may offer. Ben I recently had frontalis suspension for eyelid apraxia and it has just progressed. When I first got the surgery about 3 months ago it seemed to be a little better but from there it has gotten worse. Please if you will, advise me on other treatment since I feel I am at my ropes end, or is ther nothing else I can do? Thank you for any help you may offer. Ben

]]> By: Patti Knight http://eyemd.wordpress.com/2006/10/08/apraxia-of-eyelid-opening/#comment-2803 Patti Knight Thu, 16 Apr 2009 14:44:10 +0000 http://eyemd.wordpress.com/2006/10/08/apraxia-of-eyelid-opening/#comment-2803 Please notify me of follow-up comments Please notify me of follow-up comments

]]> By: Patti Knight http://eyemd.wordpress.com/2006/10/08/apraxia-of-eyelid-opening/#comment-2802 Patti Knight Thu, 16 Apr 2009 14:42:21 +0000 http://eyemd.wordpress.com/2006/10/08/apraxia-of-eyelid-opening/#comment-2802 I have a friend who, after back surgery couldn't open his eyes but it went away in a week. 4 years later because of Parkinsons he had an operation, DBS. It is 5 months and he is still having trouble opening his eyes in the morning, during naps and it seems that everytime he lowers his head in a sitting position, his eyes automatically close. He has no other symptoms. Please advise. Although the Parkinson symptoms are gone the patient is now unable to live alone. Please help I have a friend who, after back surgery couldn’t open his eyes but it went away in a week. 4 years later because of Parkinsons he had an operation, DBS. It is 5 months and he is still having trouble opening his eyes in the morning, during naps and it seems that everytime he lowers his head in a sitting position, his eyes automatically close. He has no other symptoms. Please advise. Although the Parkinson symptoms are gone the patient is now unable to live alone. Please help

]]> By: poonsri netcharu http://eyemd.wordpress.com/2006/10/08/apraxia-of-eyelid-opening/#comment-2789 poonsri netcharu Fri, 02 Jan 2009 23:26:07 +0000 http://eyemd.wordpress.com/2006/10/08/apraxia-of-eyelid-opening/#comment-2789 i need a good doctor to give me a treatment apraxia eye lid open after i had done surgery under my eye and i need some help thanks i need a good doctor to give me a treatment apraxia eye lid open after i had done surgery under my eye and i need some help

thanks

]]> By: Tina Yu http://eyemd.wordpress.com/2006/10/08/apraxia-of-eyelid-opening/#comment-2785 Tina Yu Sat, 20 Sep 2008 15:46:41 +0000 http://eyemd.wordpress.com/2006/10/08/apraxia-of-eyelid-opening/#comment-2785 Hi Dr. Chen: I'm 45 years old, diagnosed with hemi blepharospasm 10 years ago and had been using botox as treatment since then. I had botox every 6 months and it's not working anymore. I started with 20 units of botox and now not even 40 units is working. It usually works within a week and severe eye & facial twitching would recur within less than a month. My right eye , cheek and lip twitch most of the time and even in my sleep and eyelid muscle grew bigger and heavier to some point shutting my right eye. I can't get any answers other than botox from my opthalmologist. Will surgery of the eyelid help lessen the twitching and shutting of the eye? Hope you can help me. Thank you. Hi Dr. Chen:
I’m 45 years old, diagnosed with hemi blepharospasm 10 years ago and had been using botox as treatment since then. I had botox every 6 months and it’s not working anymore. I started with 20 units of botox and now not even 40 units is working. It usually works within a week and severe eye & facial twitching would recur within less than a month. My right eye , cheek and lip twitch most of the time and even in my sleep and eyelid muscle grew bigger and heavier to some point shutting my right eye. I can’t get any answers other than botox from my opthalmologist. Will surgery of the eyelid help lessen the twitching and shutting of the eye? Hope you can help me.
Thank you.

]]> By: gina mclellan http://eyemd.wordpress.com/2006/10/08/apraxia-of-eyelid-opening/#comment-2780 gina mclellan Sun, 22 Jun 2008 02:55:29 +0000 http://eyemd.wordpress.com/2006/10/08/apraxia-of-eyelid-opening/#comment-2780 I have been treated for blepharospasm with Botox for over 3 years with marginal effectiveness. My condition is more to the apraxia side than true blepharospasm as the eyes simply begin to slowly close. My brows have "fallen" significantly since this condition began and I get more frustrated overall each day. I have asked my opthalmologist about surgical procedures that might help and have been referred to a specialist to consult with on that question. As a result of the Botox, I am also now experiencing ptosis of the right eyelid. Might surgery be an option? I am a very healthy and active 59 year old woman. I have been treated for blepharospasm with Botox for over 3 years with marginal effectiveness. My condition is more to the apraxia side than true blepharospasm as the eyes simply begin to slowly close. My brows have “fallen” significantly since this condition began and I get more frustrated overall each day. I have asked my opthalmologist about surgical procedures that might help and have been referred to a specialist to consult with on that question. As a result of the Botox, I am also now experiencing ptosis of the right eyelid. Might surgery be an option? I am a very healthy and active 59 year old woman.

]]> By: R. Wearley http://eyemd.wordpress.com/2006/10/08/apraxia-of-eyelid-opening/#comment-2776 R. Wearley Sat, 19 Apr 2008 01:07:26 +0000 http://eyemd.wordpress.com/2006/10/08/apraxia-of-eyelid-opening/#comment-2776 Hi L Fox, I have since learned that my symptoms may be simply, sleep paralysis. Apparently it is self-limiting. One opthalomologist I corresponded with said he had another patient with similar symptoms. It lasted two years and resolved uneventfully. Robin Hi L Fox,
I have since learned that my symptoms may be simply, sleep paralysis. Apparently it is self-limiting. One opthalomologist I corresponded with said he had another patient with similar symptoms. It lasted two years and resolved uneventfully.
Robin

]]> By: L Fox http://eyemd.wordpress.com/2006/10/08/apraxia-of-eyelid-opening/#comment-2775 L Fox Fri, 04 Apr 2008 20:25:29 +0000 http://eyemd.wordpress.com/2006/10/08/apraxia-of-eyelid-opening/#comment-2775 I too am having a problem opening my eyes upon waking. I have seen a neurologist and no diagnosis. I am now off to a opthalomologist. I am really frustrated. Any suggestions?? I too am having a problem opening my eyes upon waking. I have seen a neurologist and no diagnosis. I am now off to a opthalomologist. I am really frustrated. Any suggestions??

]]> By: R. Wearley http://eyemd.wordpress.com/2006/10/08/apraxia-of-eyelid-opening/#comment-2774 R. Wearley Mon, 24 Mar 2008 02:36:55 +0000 http://eyemd.wordpress.com/2006/10/08/apraxia-of-eyelid-opening/#comment-2774 Dr. Chen, I read with interest, your article about apraxia of eyelid opening as I am searching the internet for information to explain this symptom. I am a surgical Physician Assistant and had a severe case of bilateral bacterial conjunctivitis this past Christmas. It responded to antibiotic eye gtts, but ever since, I have difficulty initiating the act of lid elevation upon waking from sleep either in the morning or after a nap. I have no trouble keeping them open or blinking once they are open. I have seen my O.D. who told me I have borderline "dry eyes" and gave me optifast drops with no improvement. Would you recommend that I see a neurologist or opthalomologist? I live in the city of San Francisco , am 51 years old and in otherwise good health. Thank you, Robin Wearley, PA-C Dr. Chen,
I read with interest, your article about apraxia of eyelid opening as I am searching the internet for information to explain this symptom. I am a surgical Physician Assistant and had a severe case of bilateral bacterial conjunctivitis this past Christmas. It responded to antibiotic eye gtts, but ever since, I have difficulty initiating the act of lid elevation upon waking from sleep either in the morning or after a nap. I have no trouble keeping them open or blinking once they are open. I have seen my O.D. who told me I have borderline “dry eyes” and gave me optifast drops with no improvement. Would you recommend that I see a neurologist or opthalomologist? I live in the city of San Francisco , am 51 years old and in otherwise good health.
Thank you,
Robin Wearley, PA-C

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