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Существует два основных типа [1](https://microvisio.ru/spravochnik-oftalmologicheskih-zabolevanij/blefarospazm/): \n1. **Рефлекторный** — возникает как реакция на раздражение глаза, например, при сухости, инфекции или попадании инородного тела [1](https://microvisio.ru/spravochnik-oftalmologicheskih-zabolevanij/blefarospazm/). \n2. **Эссенциальный** — связан с нарушением работы нервной системы, например, при дистонии (расстройстве мышечного тонуса) или других неврологических состояниях [1](https://microvisio.ru/spravochnik-oftalmologicheskih-zabolevanij/blefarospazm/). \n\n## Причины\nТочные причины блефароспазма до конца не изучены [4](https://smartclinicspb.ru/zabolevaniy/blefarospazm/). Некоторые факторы, которые могут спровоцировать заболевание: \n* генетическая предрасположенность [4](https://smartclinicspb.ru/zabolevaniy/blefarospazm/); \n* нейродегенеративные заболевания (например, болезнь Паркинсона) [4](https://smartclinicspb.ru/zabolevaniy/blefarospazm/); \n* хроническое раздражение глаз (синдром сухого глаза, конъюнктивит, блефарит) [4](https://smartclinicspb.ru/zabolevaniy/blefarospazm/); \n* стресс и нервное перенапряжение [4](https://smartclinicspb.ru/zabolevaniy/blefarospazm/); \n* приём некоторых лекарств, влияющих на нервную систему [4](https://smartclinicspb.ru/zabolevaniy/blefarospazm/). \n\n## Симптомы\nНекоторые симптомы блефароспазма: \n* непроизвольное смыкание глаз, особенно в ярком свете или при стрессе [1](https://microvisio.ru/spravochnik-oftalmologicheskih-zabolevanij/blefarospazm/); \n* светобоязнь и слезотечение — яркий свет вызывает дискомфорт, а веки смыкаются, чтобы защитить глаза [1](https://microvisio.ru/spravochnik-oftalmologicheskih-zabolevanij/blefarospazm/); \n* чувство усталости глаз [1](https://microvisio.ru/spravochnik-oftalmologicheskih-zabolevanij/blefarospazm/); \n* нарушение зрения — постоянное смыкание век мешает нормально видеть окружающий мир [1](https://microvisio.ru/spravochnik-oftalmologicheskih-zabolevanij/blefarospazm/). \n\n## Диагностика\nПри появлении симптомов блефароспазма необходимо обратиться к офтальмологу или неврологу [1](https://microvisio.ru/spravochnik-oftalmologicheskih-zabolevanij/blefarospazm/)[5](https://Belikova.ru/encyclopedia/simptomy_bolezney/blefarospazm/). Диагностика включает: \n* **Осмотр офтальмолога** — врач проверяет состояние глаза, наличие сухости или воспаления [1](https://microvisio.ru/spravochnik-oftalmologicheskih-zabolevanij/blefarospazm/). \n* **Неврологическое обследование** — при эссенциальном блефароспазме важно исключить патологии нервной системы [1](https://microvisio.ru/spravochnik-oftalmologicheskih-zabolevanij/blefarospazm/). \n* **Анализы и томографию** — при необходимости проводится МРТ или УЗИ, чтобы найти возможные причины в головном мозге [1](https://microvisio.ru/spravochnik-oftalmologicheskih-zabolevanij/blefarospazm/). \n\n## Лечение\nЛечение направлено на уменьшение симптомов [13](https://ranc-clinik.ru/gorod-krasnodar/uslugi/lechenie-blefarospasma). Некоторые методы: \n* **Ботулинотерапия** — инъекции ботулотоксина временно блокируют работу круговой мышцы глаза, предотвращая её сокращения [13](https://ranc-clinik.ru/gorod-krasnodar/uslugi/lechenie-blefarospasma). Эффект от инъекций длится в среднем 3–6 месяцев, после чего необходимо повторить [12](https://kdc5.com/articles/nevrologiya/blefarospazm-podrobnoe-rukovodstvo-po-diagnostike-kdts-5-zhukovskiy/). \n* **Хирургическое лечение** — метод блефаропластики включает удаление части века, что снижает выраженность спазмов [13](https://ranc-clinik.ru/gorod-krasnodar/uslugi/lechenie-blefarospasma). Операция проводится в тяжёлых случаях, когда другие методы оказались неэффективными [13](https://ranc-clinik.ru/gorod-krasnodar/uslugi/lechenie-blefarospasma). \n* **Медикаментозная терапия** — при неврологическом происхождении могут назначить препараты для снятия мышечных судорог [1](https://microvisio.ru/spravochnik-oftalmologicheskih-zabolevanij/blefarospazm/). \n\n**Полного излечения от блефароспазма не существует**, но доступные методы лечения позволяют эффективно контролировать симптомы [12](https://kdc5.com/articles/nevrologiya/blefarospazm-podrobnoe-rukovodstvo-po-diagnostike-kdts-5-zhukovskiy/). 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