Eyelid twitching is a common complaint that from patients. You are often very concerned about the health of their eye. The medical term for twitching is called myokymia. It can occur on either the upper or lower eyelid and it is a repetitive involuntary spasm of the muscle.
Twitching can be caused by many things. Some causes include stress, fatigue, dry eyes, blephartis (inflammation of the eyelid), too much caffeine, irritants in the environment and a foreign body touching the eye. Certain medications can also cause eyelid twitching sometimes.
It is important that we treat the underlying cause of the twitching. If signs of dry eyes or blepharitis is detected then we can initiate dry eye or blepharitis treatment. This may include over the counter drops, prescription eye drops, lid hygeine, warm compresses and ointments. We will determine what treatment is best for your condition. If a foreign body is detected, removing it may help also. It is important for you to minimize irritants in your environment also.
Is It Serious?
Usually twitching is not the sign of a serious underlying problem. If the spasms become chronic, you may have what’s known as benign essential blepharospasm. This is the name for chronic and uncontrollable blinking. This can sometimes be treated with injections into the muscle area. Very rarely, eye twitching may be a sign of certain brain and nervous system disorders. Most importantly, it is almost always accompanied by other signs and symptoms. Conditions that can cause this include Bells Palsy, Multiple Sclerosis, Tourettes and Parkinson’s Disease.
In summary, most of the time eyelid twitching is not the sign of a serious medical condition. Treating the surface of the eye can be helpful.
You may not realize that your eyes are dry. The symptoms of dry eyes can vary. You may have a foreign body sensation in your eyes with a gritty, stinging, burning or scratchy sensation. In addition, you may have blurry vision especially with concentrated tasks such as reading, on your computer, watching television or driving for a long period of time. Usually the vision is better when you initially start these tasks but blurs after a period of time.
What is Dry Eyes?
Dry eyes is an often chronic condition where the eyes don’t produce either enough tears or good quality of tears to keep the surface of the eye healthy and comfortable. Dry eyes can become more common as you age. It is also often influenced by the amount of screen time. Often oral medications you may be taking for other conditions can worsen dry eye.
Dr. Stanley Grandon, Dr. Cindy Wang and I can perform a comprehensive eye examination. Often dry eyes can be diagnosed after taking a history of your symptoms and looking at the eyelids and ocular surface with a slit lamp. It is important to look for other eye diseases that can also contribute to discomfort. We also provide tear osmolarity testing to aid in diagnosis.
If you have not already tried over the counter products, we may initially ask you to use artificial tears during the day and somtimes ointment at bedtime. If you have already tried these products or your condition is more severe, we may start you on prescription products.
It is also important to treat any other eye conditions such as blepharitis and ocular allergies. Sometimes a plug into the tear duct (punctal plugs) can be useful in managing dry eyes. It is important to realize there is no cure for dry eyes, but our job is to make your eyes as comfortable as possible.