Iva Hoxha, OD

A Multidisciplinary Approach in the Management of Hemifacial Spasm

Patients with hemifacial spasm are often misdiagnosed. This is a case report of a patient with eyelid myokymia who presents with worsening symptoms. Proper diagnosis of hemifacial spasm warrants an MRI revealing: microvascular compression displacing the right 7th cranial nerve at the root exit zone. The role of optometrists and different management options are discussed.

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General Practitioner from Mérida, Yucatán, and a proud graduate of UPAEP.
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Dr. Rett is the Editor-in-Chief of the Journal of Medical Optometry and the secretary for the American Board of Certification…
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Dr. Leslie Wilderson, OD, FAAO, Dipl AAO earned both her Bachelor of Science in Vision Science and Doctor of Optometry…
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Dr. Emily Coan graduated from the Southern California College of Optometry in 2025 and completed a residency in Ocular Disease…
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Dr. Canellos is a full-time faculty member of SUNY State College of Optometry. She is an Associate Clinical Professor, Instructor…
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Dr. Muscente is an optometrist practicing at Richmond University Medical Center and Level 1 Trauma Center. He is a graduate…
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Dr. Kane graduated from New England College of Optometry in 2015 and went on to complete an ocular disease/primary care…
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Dr. Glass earned her optometry degree from the University of Houston College of Optometry. Her training included rotations in ocular…
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Len Koh is a staff optometrist and residency site director at the Mann-Grandstaff VA Medical Center in Spokane, Washington. He…
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Dr. Wang graduated from the New England College of Optometry in 2025. She completed her ocular disease residency at the…