{"id":7272,"date":"2020-08-07T08:45:39","date_gmt":"2020-08-07T08:45:39","guid":{"rendered":"https:\/\/www.optometrists.org\/?page_id=7272"},"modified":"2021-07-28T09:34:22","modified_gmt":"2021-07-28T09:34:22","slug":"bells-palsy","status":"publish","type":"page","link":"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/eye-conditions\/bells-palsy\/","title":{"rendered":"Bell&#8217;s Palsy"},"content":{"rendered":"<h2><b>What is Bell&#8217;s palsy?<\/b><\/h2>\n<p>Bell\u2019s Palsy is a condition that causes the muscles on one side of your face to droop or become stiff, either as a result of weakening or paralysis of the facial nerve (seventh cranial nerve). The facial nerve controls the muscles of facial expression, eyelid and forehead movement, and carries sensations from the taste buds on the anterior two-thirds of the tongue.<\/p>\n<ul>\n<li><strong>Bell&#8217;s palsy affects up to 1 in 70 people in a lifetime.\u00a0<\/strong><\/li>\n<li><strong>Women and men are equally affected.<\/strong><\/li>\n<li><strong>Symptoms are most common between the ages of 10 and 40 years.<\/strong><\/li>\n<\/ul>\n<h2><b>What causes Bell&#8217;s palsy?<\/b><\/h2>\n<p>While the exact cause of Bell\u2019s palsy is unknown, most researchers believe that the condition is most commonly caused by a viral infection, diabetes, or herpes simplex 1 virus.<\/p>\n<p>When the facial nerve is damaged, it becomes swollen, making it more difficult to pass through the narrow, bony area within the skull\u2014 and consequently affecting its normal functioning.<\/p>\n<h2><b>What are the symptoms of Bell\u2019s palsy?<\/b><\/h2>\n<p>The symptoms of Bell\u2019s palsy occur suddenly, without warning\u2014 though some people feel pain behind their ear or increased sensitivity to sound a day or two before symptoms present.<\/p>\n<p>The following symptoms are commonly associated with Bell\u2019s palsy\u2014 keep in mind, only one side of your face will be affected:<\/p>\n<ul>\n<li style=\"font-weight: 400;\">Inability to close your eyelid<\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.optometrists.org\/categories\/dry-eyes\/\">Dry eye<\/a><\/li>\n<li style=\"font-weight: 400;\">Watery eye<\/li>\n<li style=\"font-weight: 400;\">Drooling<\/li>\n<li style=\"font-weight: 400;\">Difficulty chewing<\/li>\n<li style=\"font-weight: 400;\">Reduced sense of taste<\/li>\n<li style=\"font-weight: 400;\">Twitching of facial muscles<\/li>\n<li style=\"font-weight: 400;\">Numbness on one side of face<\/li>\n<li style=\"font-weight: 400;\">Pain in or behind your ear<\/li>\n<li style=\"font-weight: 400;\">Increased sensitivity to sound<\/li>\n<li style=\"font-weight: 400;\">Changes in taste on front half of tongue<\/li>\n<\/ul>\n<p>Facial drooping and weakness become progressively worse within a day or two. Symptoms will generally subside within a couple of weeks, though complete recovery is typically noticed within three to six months.<\/p>\n<p><b>In <\/b><b>29 percent of people, symptoms may become permanent.<\/b><\/p>\n<h2><b>How does Bell&#8217;s palsy affect the eyes?<\/b><\/h2>\n<p>Bell\u2019s palsy affects the facial nerve, which controls the muscles responsible for closing the eyelids. Therefore, if you have Bell\u2019s palsy you will not be able to blink, or close the affected eye\u2014 not even partially.<\/p>\n<p>Since the muscle that opens the eyelid is not affected by the facial nerve, your eye will remain in an open position\u2014 which commonly causes a condition called <i>exposure keratitis<\/i>, an extreme form of dry eye syndrome.<\/p>\n<p>People with Bell\u2019s palsy may also develop an outward turn of their lower eyelid, a condition called <i>ectropion<\/i>.<\/p>\n<h2><b>How is bell\u2019s palsy diagnosed?<\/b><\/h2>\n<p>Bell\u2019s palsy is typically a diagnosis of exclusion, when all other related conditions are ruled out.<\/p>\n<p>During your eye exam, your doctor will try to close your affected eyelid. If your eye turns upward and outward when he tries to close it, you will be diagnosed with the \u201cBell phenomenon\u201d.<\/p>\n<p>Your doctor will also test your hearing and sense of balance, and may include a skull x-ray, computed tomography (CT) scan, or magnetic resonance imaging (MRI) to confirm your condition. With electrical testing, your doctor may be able to determine how long the condition will affect your nerves and if a full recovery will occur.<\/p>\n<p><strong><a href=\"http:\/\/www.optometrists.org\/practice-search\/\">Contact an eye doctor<\/a> near you that has experience in diagnosing and managing eye conditions brought on by Bell&#8217;s Palsy.<\/strong><\/p>\n<p><strong>SEE RELATED:<\/strong> <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-conditions\/guide-to-eye-conditions\/ptosis-why-is-my-eyelid-drooping\/\">Ptosis: Why Is My Eyelid Drooping?\u00a0<\/a><\/p>\n\n\t<div class=\"practice-search-widget\">\n\t\t<h3>Find an eye doctor near you<\/h3>\n\t\t\n\t<form class=\"practice-search-form practice-search-form-widget\" action=\"https:\/\/www.optometrists.org\/practice-search\/results\/\" method=\"get\">\n\n\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\t\t<input type=\"hidden\" name=\"page\" class=\"practice-search-page\">\n\t\t<input type=\"hidden\" name=\"address_latitude\"><input type=\"hidden\" name=\"address_longitude\">\n\n\t\t<input type=\"text\" name=\"address\" class=\"practice-search-address\" placeholder=\"City, Surburb or Address\" value=\"\">\n\n\t\t\n\t\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\n\t\t\n\n\t\t<button type=\"submit\" class=\"practice-search-button\">\n\t\t\t\t\t\t\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M10.6796 0.130005C9.15708 0.130059 7.66615 0.5646 6.38198 1.38258C5.09781 2.20057 4.07373 3.36803 3.43004 4.74783C2.78634 6.12763 2.54976 7.66246 2.74808 9.17205C2.9464 10.6816 3.57139 12.1033 4.54964 13.27L0.729639 17.08C0.6364 17.1732 0.562439 17.2839 0.511979 17.4058C0.461519 17.5276 0.435547 17.6581 0.435547 17.79C0.435547 17.9219 0.461519 18.0524 0.511979 18.1743C0.562439 18.2961 0.6364 18.4068 0.729639 18.5C0.917942 18.6883 1.17334 18.7941 1.43964 18.7941C1.5715 18.7941 1.70207 18.7681 1.82389 18.7177C1.94571 18.6672 2.0564 18.5932 2.14964 18.5L5.99964 14.62C7.35406 15.6038 8.98566 16.1324 10.6596 16.13C12.7814 16.13 14.8162 15.2871 16.3165 13.7869C17.8168 12.2866 18.6596 10.2517 18.6596 8.13C18.6596 6.00827 17.8168 3.97344 16.3165 2.47315C14.8162 0.97286 12.7814 0.130005 10.6596 0.130005H10.6796ZM10.6796 14.13C9.49295 14.13 8.33291 13.7781 7.34622 13.1188C6.35952 12.4595 5.59049 11.5225 5.13636 10.4261C4.68224 9.32975 4.56342 8.12335 4.79493 6.95946C5.02644 5.79558 5.59788 4.72648 6.437 3.88736C7.27611 3.04825 8.34521 2.4768 9.5091 2.24529C10.673 2.01378 11.8794 2.1326 12.9757 2.58673C14.0721 3.04085 15.0092 3.80989 15.6685 4.79658C16.3277 5.78328 16.6796 6.94332 16.6796 8.13C16.6796 9.7213 16.0475 11.2474 14.9223 12.3726C13.7971 13.4979 12.2709 14.13 10.6796 14.13Z\" fill=\"#fff\"\/><\/svg>\n\t\t\t\t\t<\/button>\n\n\t\t<button type=\"button\" class=\"practice-search-use-my-location\">\n\t\t\tSearch near me\n\t\t<\/button>\n\n\n\t<\/form>\n\n\n\n\t\t<\/div>\n\n\t\n<h2><b>Bell&#8217;s palsy treatment<\/b><\/h2>\n<p>Unfortunately, there are no effective treatments to reduce your symptoms from Bell\u2019s palsy. However, if your doctor thinks that the herpes virus has caused your symptoms, an antiviral medication may be prescribed to eliminate the virus\u2014 though, there is no evidence to prove that these medications will eliminate the Bell\u2019s palsy symptoms.<\/p>\n<p>Your doctor may also prescribe a corticosteroid, such as prednisone, to reduce the swelling of your facial nerve and decrease the duration of your Bell\u2019s palsy symptoms.<\/p>\n<p>Facial massages with electrical stimulation, biofeedback, and specific exercises are generally prescribed as part of a Bell\u2019s palsy treatment protocol. These techniques help to stimulate your facial nerve to improve normal functioning.<\/p>\n<h3>Protect your eyes<\/h3>\n<p>To prevent severe dry eye caused by the effects of Bell\u2019s palsy, your doctor will recommend using an artificial tears <a href=\"https:\/\/www.optometrists.org\/dry-eye\/guide-to-eye-drops\/\">eye drop<\/a>, gel, or ointment. There are many different types, so it is best to ask your eye doctor for a recommendation based on your specific needs.<\/p>\n<p><strong>Applying lubricating eye drops and ointment<\/strong>, especially before bedtime will significantly help to reduce your risk of exposure keratitis. In some cases, the affected eyelid will be taped closed before bedtime to prevent the eye from drying out during the night.<\/p>\n<p><b>Caution<\/b>:<strong> Do not tape your eye closed before speaking with your eye doctor first.<\/strong> Specific instructions will be given to effectively tape your eye without causing further risk of complication.<\/p>\n<p><strong>Wearing a moisture chamber or eye patch<\/strong> is generally recommended to keep moisture in, and prevent many uncomfortable symptoms from dry eye.<\/p>\n<p>A moisture chamber sits on your eye like a goggle, and locks in the moisture within your eye. It provides better protection than an eye patch, and its clear window enables clear vision.<\/p>\n<p>Eye patches can be used to prevent eye exposure, and are typically recommended for nighttime wear. Most eye doctors will recommend applying a lubricating ointment to your eye and then place the patch on top. A cloth patch can also help you to fall asleep better at night, as it blocks the light from entering your open eye.<\/p>\n<p>When moisture chambers and patches are not enough, eyelid weights can be prescribed to help you close your eye. These weights can either be self-adhered to your eyelid every day, or surgically sewn onto your eyelid by your eye doctor. While these eyelid weights can be effective in protecting your eye, they can affect your vision clarity.<\/p>\n<p><strong>LEARN MORE:\u00a0<\/strong>\u00a0<a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-conditions\/\">Guide to Eye Conditions<\/a><\/p>\n<p><strong>If you are experiencing symptoms of Bell\u2019s palsy, <a href=\"https:\/\/www.optometrists.org\/practice-search\/\">schedule an appointment with an eye doctor<\/a> near you as soon as possible for an accurate diagnosis.<\/strong><\/p>\n<p><em>Though Bell\u2019s palsy is not a life-threatening condition, its symptoms can mimic a stroke, so a quick and accurate diagnosis is crucial<\/em><i>.\u00a0<\/i><\/p>\n<p><em>An early diagnosis will help you to receive the most appropriate treatment and medical care.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>What is Bell&#8217;s palsy? Bell\u2019s Palsy is a condition that causes the muscles on one side of your face to droop or become stiff, either<\/p>\n","protected":false},"author":4,"featured_media":7273,"parent":12466,"menu_order":8,"comment_status":"closed","ping_status":"closed","template":"template-article.php","meta":{"footnotes":""},"categories":[],"tags":[320,109,216,274],"class_list":["post-7272","page","type-page","status-publish","has-post-thumbnail","hentry","tag-bells-palsy","tag-binocular","tag-disease","tag-dry-eye"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Bell&#039;s Palsy - Optometrists.org<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/eye-conditions\/bells-palsy\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Bell&#039;s Palsy - Optometrists.org\" \/>\n<meta property=\"og:description\" content=\"What is Bell&#8217;s palsy? 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