Objectives - Administration of botulinum neurotoxin A (BONT/A) is a common
and effective treatment of blepharospasm. There is, however, no information
regarding the emotional and social well-being of patients with blepharospa
sm and patient acceptance of BONT/A therapy. The purpose of this study was
to investigate aspects of quality of life of patients with blepharospasm an
d level of patient satisfaction with treatment. Material and methods - Fift
y-one patients with blepharospasm who had been treated with BONT/A for year
s completed a questionnaire providing information about quality of life. Re
sults Results revealed reductions in social and emotional well-being of pat
ients but, nonetheless, good acceptance of BONT/A therapy. The positive eff
ects of BONT/A therapy were, however, accompanied by fear of a decreasing e
ffect of BONT/A injections. Conclusion - Although the objective findings fo
llowing BONT/A injections in the treatment of blepharospasm are appreciated
by the patients, their well-being is affected by fears and depression.