Ah, the pesky eye twitch. Here's what it means and what you can do about it.
By Georgina Berbari • September 17, 2020
Involuntary eye twitching can be frustrating, and perhaps
even embarrassing. And eyelid twitch, or myokymia, is repetitive spasming of
the eyelid muscle.
Typically, a twitch will occur in the upper lid, but also
can happen in both upper and lower lids. Myokymia will probably feel like a
gentle tugging on the eyelid and will typically occur every fee seconds for a
minute or two.
Moreover, twitches are unpredictable. Myokymia may occur on
and off for a few days or may not recur for weeks or months. Eye spasms are
rarely harmful.
What causes myokymia?
Eyelid twitching may have no decipherable cause — but other
times it may be caused or worsened by:
1.
Eye
irritation
2.
Eyelid
strain
3.
Fatigue
4.
Lack
of sleep
5.
Physical
exertion
6.
Medication
side effects
7.
Stress
8.
Use
of alcohol, tobacco, or caffeine
Chronic spasms, on the other hand, are known as benign
essential blepharospasm (BEB). BEB is a type of spasming that’s considered a
progressive neurological disorder — this means that twitches can lead to
sustained eyelid closure or sustained, repetitive movements.
BEB usually looks like uncontrollable spasms in both eyes
and has no exact cause, however, it can be worsened by:
1.
Blepharitis,
or inflammation of the eyelid
2.
Conjunctivitis,
or pinkeye
3.
Dry
eyes
4.
Environmental
irritants (ie. wind, bright lights, sun, or air pollution)
5.
Fatigue
6.
Light
sensitivity
7.
Stress
8.
Too
much alcohol or caffeine
9.
Smoking
Can eyelid twitching be cured?
In order to prevent future myokymia you should be aware of
your tobacco, caffeine and alcohol intake, as well as your stress levels. Also,
you might keep a journal of your spasms. If you notice myokymia happening when
you don’t get enough sleep, try to adjust your sleep hygiene.
Benign essential blepharospasm can be treated with botulinum
toxin injections, which will relax the eyelid muscles and stop the chronic
spasming. Alternative treatments include medication, eye surgery, or deep brain
stimulation surgery.
Talk to your doctor about your myokymia if it’s becoming
bothersome or interfering with your day-to-day life.
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