Surgical Treatment of the Orbicularis Oculi Muscle Spasm and Supraorbital Neuropathy

The orbit and ocular muscles are innervated by the ophthalmic branches of the trigeminal nerve and are closely related to the facial nerve and the trigeminal nerve. Functional neurological diseases, such as spasticity, pain, and paralysis, often show ocular symptoms as its idiopathic manifestations. Orbicularis oculi muscle spasm and ocular pain caused by various factors are one of the diagnostic difficulties for ophthalmologists. This section integrates neurosurgery knowledge, and describes the pathogenesis, clinical manifestations, and treatment of the orbicularis oculi muscle spasm, orbicularis muscle spasm after Bell’s palsy, and supraorbital neuralgia. After reading this chapter, the ophthalmologists can know the special examinations and differential diagnosis of the neurology related to ophthalmology. Meanwhile, it is suggested that ophthalmologists should pay attention to differentiate the orbicularis oculi muscle spasm and eye pain from those caused by other factors. At the same time, the drug treatment, surgical indications, and postoperative complications of orbicularis oculi muscle spasm and supraorbital neuralgia are also introduced, aiming to help ophthalmologists to promptly make the correct diagnosis and cooperate with the neurologist in the clinical work.