Many of us have had it before.  The annoying eyelid flutter that seems to mysteriously appear without explanation.  Commonly it lasts a day or two but sometimes can occur for weeks or even months at a time.

The eyelid twitch is called myokymia and is a caused by involuntary contractions of the obicularis oculi muscle.  They tend to affect the lower eyelid and are commonly caused by:

• Anxiety
• Excessive Caffeine
• Fatigue
• Nutritional Deficiencies
• Stress

If you are able to pinpoint the suspected cause, then elimination of the risk factor will generally alleviate the twitching.  Nutritionally, potassium and vitamin B may be helpful.  On occasion, a topical antihistamine may be prescribed or the use of quinine (found in tonic water) recommended (not if you are pregnant) for its muscle relaxant properties.  In addition, Botox injections are sometimes used for persistent symptoms.

If the eyelid twitch extends into the facial muscles causing the entire lid to close then that can be a sign of an uncommon, but serious neurological condition.

Have a question about eyelid myokymia? Schedule an appointment with Gray Family Vision today.

By Dr. Cook, O.D.