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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. 

ATTENTION:  EFFECTIVE IMMEDIATELY

The Murrysville office will remain closed to 4/1. All services offered through the Greensburg office.

Due to recent recommendations of the CDC, we would like to offer the following check-in procedure:

Thank you for your understanding and help in keeping everyone healthy so we can continue to provide care to our patients.

Doctors and Staff at Eyecare Greengate

COVID-19 ADJUSTED OFFICE HOURS GREENSBURG:

FRIDAY 3/20/2020 11-1PM
SATURDAY 3/21/2020 CLOSED
SUNDAY 3/22/2020 CLOSED
MONDAY 3/23/2020 12-4 PM
TUESDAY 3/24/2020 12-4 PM
WEDNESDAY 3/25/2020 12-4 PM
THURSDAY 3/26/2020 12-4 PM
FRIDAY 3/27/2020 11-1PM
SATURDAY 3/28/2020 CLOSED
SUNDAY 3/29/2020 CLOSED
MONDAY 3/30/2020 12-4 PM
TUESDAY 3/31/2020 12-4 PM

If you are having an emergency, call 724-836-0802and hit option 5

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Thank you for being a valued patient of Eyecare Greengate.

The Murrysville office will remain closed to 4/1. All services offered through Greensburg office.

The safety and well-being of our patients and employees is always our top priority.

We understand that the current coronavirus (COVID-19) is unnerving to all. We are closely monitoring the information from the experts at the Centers for Disease Control (CDC) and the World Health Organization (WHO). As a result, we are adopting recommendations by these organizations, and doing everything possible to mitigate the risk of developing any kind of illness while you are visiting our office.

We will continue to provide our services as currently scheduled. We are asking both our staff and our patients to communicate with us if you are experiencing any flu-like symptoms such as fever, cough, or difficulty breathing. Also, please let us know, if you have traveled to areas where the virus is known to be present. We will be more than happy to help you get your appointment rescheduled for a few weeks from now.

What we are doing:

 

What you can do:

 

COVID-19 ADJUSTED OFFICE HOURS GREENSBURG:

FRIDAY 3/20/2020 11-1PM

SATURDAY 3/21/2020 CLOSED

SUNDAY 3/22/2020 CLOSED

MONDAY 3/23/2020 12-4PM

TUESDAY 3/24/2020 12-4PM

WEDNESDAY 3/25/2020 12-4PM

THURSDAY 3/26/2020 12-4PM

FRIDAY 3/27/2020 11-1PM

SATURDAY 3/28/2020 CLOSED

SUNDAY 3/29/2020 CLOSED

MONDAY 3/30/2020 12-4PM

TUESDAY 3/31/2020 12-4PM

If you are having an emergency, call 724-836-0802 and hit option 5.

Thank you and be well!