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Should I Be Concerned When My Eyelid Twitches?

We all experience the occasional eyelid twitch, which is when the muscle of the eyelid spasms involuntarily. Usually, it comes and goes without intervention and while sure, it can be irritating, is a twitching eyelid ever something to be concerned about?

An eyelid twitch, also known as a myokymia, can affect the upper or lower lid and usually lasts for at least a few seconds and then may continue off and on for a few minutes. Usually unpredictable, twitching episodes can last several days and sometimes they may go away and then return weeks or months later. 

Causes of Eyelid Twitching

Although they may be bothersome, most eyelid twitches are nothing to cause concern and usually resolve on their own. However, in some rare cases, they may be a sign of a more serious problem, especially if they are accompanied by other symptoms - we will discuss this further below. 

Some known causes of eyelid twitches include:

 

  • Fatigue or lack of sleep
  • Stress
  • Eye irritation or dry eyes
  • Medications
  • Alcohol or caffeine
  • Physical exertion
  • Allergies
  • Eye strain (such as with extended digital device use)
  • Poor nutrition

 

Preventing and Treating Eyelid Twitching

Usually eyelid twitching will resolve itself within a couple of days or weeks but if it persists try to determine the cause in order to speed up the process. Consider going to bed a little earlier, cutting out caffeine or alcohol or finding ways to reduce or manage your stress. You can also try lubricating eye drops to add moisture to your eyes. If you take notice of when the spasms are happening and what else is going on in your life at that time (time of day, food intake, stress level, exhaustion) you can make some changes that will stop or prevent eye twitching from occuring. 

If you notice eye twitching in addition to vision disturbances or eye strain, contact your doctor for a vision assessment as it could be a sign of a refractive change. 

When is Eyelid Twitching a Concern?

If the eyelid spasms don’t pass and become chronic it may be a sign that you have a condition called benign essential blepharospasm. This condition is when the eye muscles blink uncontrollably and it usually affects both eyes. While the cause of blepharospasm is not known, it is more common in middle age women and there are a number of conditions that can exacerbate symptoms including: 

  • Eye inflammation (blepharitis) or infection (pink eye)
  • Dry eyes
  • Fatigue
  • Stress
  • Alcohol, caffeine or tobacco
  • Irritants or allergens in the environment

Blepharospasm is usually a progressive condition that can eventually lead to spasms in other muscles in the face, blurred vision and light sensitivity. The condition is sometimes treated with medication or Botox (botulinum toxin) to temporarily reduce the spasms and in severe cases, surgery may be performed to remove some of the muscles that are affected. 

On very rare occasions eye twitching can be a symptom of a more serious disorder affecting the brain or nervous system, however, usually it will be accompanied by other symptoms. Examples of such conditions include: glaucoma, hemifacial spasms, Parkinson’s disease, Bell’s palsy, multiple sclerosis, dystonia, and Tourette’s. A corneal scratch or abrasion can also be a cause of the eyelid muscle spasm. 

If you experience any of the following symptoms along with your eye twitching, see your doctor as soon as possible: 

  • Twitching that continues for more than a few weeks
  • Twitching that spreads to other areas of the face
  • A drooping upper eyelid
  • Red, irritated or swollen eyes 
  • Discharge coming from the eye
  • Spasms that cause the eyelid to close completely or difficulty opening the eyelid. 

In most cases, eye twitching is not something to worry about, but when you do experience a spasm it is worthwhile to take note of the circumstances so you know when your body is trying to tell you that something is out of balance. 

Armstrong & Small Eyecare Centre - COVID-19 Update - March 18, 2020

Due to the recent COVID-19 outbreak, we have made the difficult decision to close starting Wednesday, March 18 and we are hoping (depending on the conditions) that we will re-open on Monday, April 6th.

In our attempts to be as socially distant as possible and to protect you, our staff and all of our families, we recommend staying at home and following all of the precautions that have been set out by the city, province and the nation.

If you have specific questions about glasses, contact lenses or any other non-emergency / non-essential items please email us at info@armstrongandsmall.com and we will do our best to accommodate your request. As part of our services, we are happy to provide you the option of having your contact lenses sent directly to your home. If you currently have items on order, we will be in touch with you to make arrangements.

If you are calling about a specific ocular or visual emergency such as new flashes and/or floaters, a loss in vision or a suspected eye infection, please text or call Dr. Luke Small at 204-299-6587 or Dr. Matt Lepage at 204-573-8039 who are both providing on-call emergency services through our clinic. Please do this prior to going to Misericordia or to a walk-in clinic as we attempt to reduce their patient load at this time. Obviously, if you have been recently traveling or are experiencing any symptoms related to COVID-19, they will be able to direct you where to go for the proper care.

Please stay home as much as possible and stay safe.

Thank you from your Armstrong & Small Eyecare Team.