Why is my eyelid twitching?
What is eye twitching?
What causes eye twitching?
Who is at risk of eye twitching?
What are the symptoms of eye twitching?
The twitches of the eyelid can vary from being very mild to being quite severe in frequency. Some people can have twitching every few seconds and other people can have them far less commonly. It can last for days or longer and it may go and then come back, giving you periods of respite. In some people the eyelid twitching happens far more often lasts for prolonged periods of time. In other people it often goes away and never comes back. Twitches tend to be found in the upper eyelid more commonly. In addition to the twitching, you may also notice:
Irritation of the eye.
An increased rate of blinking sensitivity to light
Vision problems if the frequency of the twitch is high
These symptoms of the twitch may go away when you are asleep or concentrating intently. Other things that make the symptoms increase contend to be tiredness, bright lights, caffeine, driving stress, or irritation from the eye from another cause.
How is eye twitching diagnosed?
How is eye twitching treated?
If your condition is not severe and does not impact your quality of life, it often may need no treatment at all. You may be focused on just getting more rest and reducing your caffeine intake to try and reduce your symptoms. If it is causing you problems however, it might be recommended to have botulinum toxin injections into the muscles of your eyelids. This will paralyse the muscle that is twitching.
If your eyelid twitching is very severe, you may have you may be considered for surgery called myectomy. This is to remove some of the muscles and nerves within the eyelid to stop the symptoms or at least reduce them significantly. Your doctor may refer you to a neurologist to treat any other conditions that may be associated with eyelid twitching such as Parkinson’s disease.
What are the possible complications of eyelid twitching?
If the twitching is severe, and long term, then it can permanently permanently damage your eyelids and other structures in the eye. This can cause:
Upper eyelid ptosis
The eyebrows are resting lower than normal
Blepharochalasis which is extra skin of the upper or lower eyelid
An abnormal folding of the skin in the eyelids.
People with chronic eyelid twitching can also develop muscle spasms in other parts of the body such as the jaw or the neck.
How to manage eyelid twitching?
When should I call my ophthalmologist?
You should call your ophthalmologist if your twitching is lasting for longer than one week. Or if you have any new or additional symptoms such as facial swelling or discharge from your eye.