Eye Health

Why Is My Eyelid Twitching?

Written by
Dr. Manjunath Natarajan
and medically reviewed by iCliniq medical review team.

Published on May 07, 2018 and last reviewed on May 09, 2019   -  2 min read

Abstract

Abstract

Involuntary eyelid twitching also called “myokymia” is a common problem faced by many of my patients. This disorder, though seemingly harmless, can cause quite a bit of inconvenience and does need a proper workup by a qualified eye specialist.

Why Is My Eyelid Twitching?

Involuntary eyelid twitching also called “myokymia” is a common problem faced by many of my patients. This disorder, though seemingly harmless, can cause quite a bit of inconvenience and does need a proper workup by a qualified eye specialist.

Why Does the Eyelid Twitch?

The basic problem in myokymia lies in the nerves. It is a hyper-action of the nerves supplying the orbicularis oculi (the muscle which helps with the closing of the eye).

What Causes the Nerve to Become Hyperactive?

The problem can be due to three main causes:

  1. Essential myokymia - due to reduced sleep, excessive coffee/tea, or ocular surface disorders. The twitching intensity is quite mild.
  2. Blepharospasm - these are episodic attacks of much more intense twitching and the patient cannot open his eyes without help. This condition involves a large portion of muscles of the face and needs a specialist consultation (both eye specialist and neurologist).
  3. Compression of the facial nerve (Cr. VII) - this can only be diagnosed by an eye surgeon. This may need a CT scan/MRI of the brain.

Can Some Medicines Cause This?

Yes, there are a few drugs which can cause eyelid twitching. The most common one being Clonazepam, which is used for epilepsy. You can always check with the doctor who prescribed the medications about this.

What Can I Do at Home to Stop the Twitching?

The simplest measures are:

  • Avoid excessive use of visual display units (computers/mobile phones/tablets/televisions) as these can lead to ocular surface disorders.
  • Avoid or limit the intake of tea/coffee. These are stimulants, and as you know, the twitching is due to excessive stimulation of the nerves.
  • Get at least eight hours of sleep a night.
  • Using lubricating eye drops such as 0.5 % Carboxymethylcellulose eye drops four times a day for up to a month provides soothing relief. Tablet Calcium carbonate with vitamin D3 twice a day for two weeks is also found to be helpful.

What to Expect When I Meet the Eye Doctor?

The doctor will try to evaluate you so as to narrow down the problem from the above list of three most probable causes and rule out the other two.

The eye specialist will take a detailed history. The eye exam may include a slit-lamp examination for detecting ocular surface disorders. The examination also includes an examination of cranial nerve VII.

What Are the Other Treatment Options Available?

- Treatment for specific ocular surface disorders may be eye drops or surgery.

- Treatment for blepharospasm - neurologist may start medicines to blunt the hyper nerve action.

- Treatment in cases unresponsive to medication include injections with botox (botulinum toxin), eyelid surgery, and facial nerve decompression surgery.

In some rare cases, eyelid twitching can be a sign of a chronic movement disorder if accompanied by facial twitches. So, it is better to consult a doctor if you feel that your eyelid twitch is not normal.

For more information consult a neuro ophthalmology specialist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist/neuro-ophthalmology

Last reviewed at:
09 May 2019  -  2 min read

RATING

13
Ask a QueryAsk a Query Consult by PhoneConsult by Phone Video ChatVideo Chat

Tags:

Related Questions & Answers


Why do my eyes twitch after looking at a computer screen for more than 15 minutes?

Query: Hi doctor, I am a 66 year old male, who has a normal eyesight. Last week while I was watching a film on my laptop, suddenly both my eyelids started twitching (fluttering). After that, whenever I look at a computer for more than 15 minutes, the burning sensation starts. The same is true while I read...  Read Full >>


Dr. Pooja Bandivadekar
Eye Care Ophthalmologist

Answer: Hello,Welcome to icliniq.com.Twitching of the eyelids can happen due to the following reasons:Fatigue following excessive usage.Spontaneous nerve discharge (very common and benign).Irritation of nerves due to vascular pathology and mass effect.Hemifacial spasm.Apart from Refresh tears, you can use a...  Read Full

Is spending 10 hours a day at the computer too much?

Query: Hi doctor, I have always had floaters, and almost like a visual snow which is more prevalent at night. I had anxiety as a teenager and I noticed the floaters after I developed high anxiety. I have a 20/20 vision otherwise. Recently, I developed astigmatism, a very slight case. I spend a lot of time ...  Read Full >>


Dr. Rahul Vaswani
Eye Care Ophthalmologist

Answer: Hello, Welcome to icliniq.com. It is good to know that you are so aware. I will try to answer your queries one by one. Floaters at this early age, are not common, but the good thing here is that you have got your retina checked and have no tears or lattices. I advise you to keep getting yourself ch...  Read Full

Popular Articles Most Popular Articles

Do you have a question on Ocular Complications or Twitching Of The Eyelid?

Ask a Doctor Online

* guaranteed answer within 4 hours.
Enter Your Health Query
You can upload files and images in the next step.

Fee:  

 


Disclaimer: All health articles published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.