DR. GUPTA ROSHMI

Dr. SHARON DSOUZA, Dr. ANJALI KIRAN, Dr. SUSHMA A.

Abstract

Aim

We explore the role of corneal afferent path in blepharospasm.

Method

Eyes assigned to 3 groups – A – Blepharospasm 28, B – Dry eye with Blepharospasm 18, C- Dry eye, no spasm 40. Corneal esthesiometry, confocal microscopy ( IVCM), Ocular surface discomfort index (OSDI) noted. Grading, chemodenervation dose and duration noted for Group A,B.

Result

Group A and B had similar Jankovic grade, similar mean units of chemodenervation (31,30.3) , similar mean action (4.3 m, 4.25m). EsthesiometryA+B was 35.44 mm (+/- 4.77 ) (normal 58-60 mm). Microneuroma in sub -basal nerve layer in IVCMA > IVCMB (p=0.015), microneuroma IVCMA+B >IVCMC (p=0.009). Disorganised nerve plexus present in 21.7% in A+B. OSDIA 9.87 Full Text