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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. 

To Our Valued Patients:

As an essential business, Kennedy Vision Health Center remains committed to patient and employee safety as we navigate through the current healthcare crisis. We are going to see patients again beginning May 4th.  We care deeply about patient health and have implemented several infection prevention measures to ensure the highest level of safety when you visit our clinic.  Following guidance from  the MN Dept. of Labor, MN Dept. of Health, CDC, and the American Optometric Association we are keeping a very controlled and safe environment for our patients and employees.

For patients being seen in our clinic, the CDC is now recommending that all staff, patients and visitors cover their faces in health care facilities. To help reduce the spread of COVID-19, we are requiring patients to bring and wear a face covering (such as protective mask or cloth covering) to any upcoming appointments.

Masks or cloth coverings must be worn over your mouth and nose for the duration of your appointment. Members of your care team will also wear masks to help reduce the spread of COVID-19. If you do not have access to a face covering, the CDC website has guidelines for making no-sew, cloth face coverings. You can also use a scarf or bandana. Additionally, masks can be purchased from many local and online retailers.

We are requiring an appointment to enter the office.  Appointments will be made for eye exams, glasses, and contact lens pickups.  If you do not have an appointment please call before entering so we can make sure we do not have too many people in the office.  Once entering please use the hand sanitizer that is provided in the foyer and wait to approach the front desk until the receptionist is ready.  All people entering the building must have their temperature checked.  If your temperature is above 100.4, it will be rechecked by a different device, and if still high you will need to reschedule.

We continue to ask that you do not bring any unnecessary people with you to your appointment, with the exception of a guardian with a child or assistance with mobility.  Also, please follow the 6 feet social distancing guidelines as much as possible throughout the office.

Rest assured that every surface you come into contact with has been sanitized prior to the arrival of each and every patient entering our practice, and it will be cleaned again as you exit each area. The team will be frequently washing their hands between interactions as per our usual protocol, and you’ll also see hand sanitizer throughout the practice for your use, as well.

If you’re  wanting to purchase glasses, there is a similar protocol in place to ensure a safe interaction with cleaning of frames and minimal contact with our optical team. Please follow their direction if eyewear is needed.

Kennedy Vision Health Center is also offering telemedicine visits which can be completed from the comfort of your home. To schedule a telemedicine visit please contact our office at 763-545-8850 and one of our team members will be happy to schedule your visit.

If you have any questions or concerns, please don’t hesitate to call us. On Monday May 4th we will begin regular office hours at both locations.

We appreciate your efforts to help protect yourself, our care teams and our entire community.