Eye Twitching (Eyelid Spasms or Eye Twitch) | Ophthalmology

Eye Twitching

What is eye twitching?

An eye twitch is an abnormal involuntary blink of your eyelid. This abnormal flashing may occur several times a day. If the eye twitching is severe, it may affect your vision. One facial muscle closes your eyelid. Another raises your eyelid. Problems with any (and sometimes both) of these muscles may cause your eye to twitch. Other eye muscles may also contribute to eye twitching.

Many people experience occasional eye twitching, especially when they are tired or drink a lot of caffeine. Frequent eye twitching is somewhat uncommon. Anyone can experience twitching eyes, but it is more common in middle-aged and elderly women.

Why did my eye get twisted?

No one knows what causes this eye twitching, what your doctor calls blepharospasm. When that happens, your eyelid, usually the top part, lights up and you can’t stop it. Sometimes eye twitching affects both eyes. The lid moves every few seconds for a minute or two.

Doctors believe eye twitching could be related to:

  • Fatigue
  • Stress
  • Caffeine
  • Seizures are painless, harmless, and usually go away on their own. If the contractions are strong enough, the eyelids will close and reopen completely.

How can I stop my Eye twitching?

To stop rolling the eyelid or eye twitching, identify the possible causes. Sometimes making small changes to your diet and lifestyle can significantly reduce the risk of eye twitches or cause the eyelid to move. Let’s go over the causes of eye spasms and possible solutions:

  1. Stress

Stress is a very common cause of twisted eyes. Yoga, breathing exercises, spending time with friends or pets, and spending more time on your schedule are ways to reduce the stress that can cause your eyelids to twitch.

  1. Fatigue

Lack of sleep, due to stress or any other reason, can cause glare. Knowing your sleep and having a consistent sleep schedule can help.

  1. Visual fatigue

Eyestrain, especially from heavy use of computers, tablets, and smartphones up to digital eye strain, is also a common cause of eyelashes. Follow the “20-20-20 rule” when using digital devices: every 20 minutes, look away from the screen and allow your eyes to focus on a distant object (at least 20 feet away) for 20 seconds or plus. Reduces fatigue that triggers eye seizures.

Also, ask your eye doctor about computer glasses to reduce digital eye strain.

  1. Caffeine

Too much caffeine can cause eye spasms. Try cutting back on coffee, tea, and soda for a week or two (or switch to decaf versions), and make sure your eye doesn’t look crooked.

  1. Alcohol

If you feel dizzy after drinking beer, wine, or alcohol, drinking alcohol can twist your eyelids.

  1. dry eyes

Most adults experience dry eyes, especially after age 50. Dry eyes are also common among those who use computers, take certain medications (especially antihistamines and some antidepressants), wear contact lenses, and consume caffeine and/or alcohol. If you have crooked eyelids and your eyes feel gritty or dry, see your ophthalmologist for an evaluation. Restoring moisture to the surface of your eye will stop twisting and reduce the risk of future twisting.

  1. Nutritional problems

Some reports suggest that a deficiency of certain nutrients, such as magnesium, can lead to sore eyelids. While these reports are not conclusive, it may be another reason for eye spasms. If you are concerned that your diet does not provide all the nutrients you need for healthy vision, talk to your eye doctor before purchasing over-the-counter nutrients.

  1. Allergies

People with eye allergies have itchy, swollen, and watery eyes. Rubbing the eyes due to allergy symptoms releases histamine into the eyelid tissue and forms a tear film that can cause the eye to twist.

Sometimes over-the-counter eye drops designed to reduce allergy symptoms can help, but the antihistamines in these drops can cause dry eyes. If you’re experiencing allergy symptoms and eye seizures, it’s a good idea to see your ophthalmologist to make sure your eyes are working properly.

What if eye twitching doesn’t stop?

Some people have eye strain all day. They can last for days, weeks, or even months. It can confuse you and affect your quality of life. Eye twitching is very rare, but if her twists and turns don’t go away, you can keep an eye on her from time to time. If you cannot keep your eyes open, it will be difficult for you to see.

Sometimes the twist is a sign of more serious conditions,

  • Blepharitis (inflamed eyelids)
  • Dry eyes
  • Sensitivity to light
  • Pink eye: Very rarely, it is a sign of a brain or nerve disorder,
  • Bell’s palsy
  • Dystonia
  • Parkinson’s disease
  • Tourette syndrome

Eye twitching can also be a side effect of some of the medications. Medications to treat psychosis and epilepsy are common.

What are the types of spasms?

There are three commons.

Twisting of the eyelids is often associated with lifestyle factors,

  • Fatigue
  • Stress
  • Lack of sleep
  • Consumption of alcohol, tobacco, or caffeine
  • It can also be caused by irritation of the surface of the eye (cornea) or by the layers that line the eyelids (conjunctiva).

Benign essential blepharospasm usually appears from puberty to late adulthood and gradually worsens. Only about 2,000 people are diagnosed each year in the United States. Women are twice as likely as men. This is not a serious condition, but more serious cases can disrupt your daily life.


  • Fatigue
  • Stress
  • Bright light, air, or air pollution

Eye twitching starts with continuous blinking or eye irritation. As it worsens, you may become more sensitive to light, have blurred vision, and facial wrinkles. In severe cases, the seizures become so severe that your eyelids close for several hours.

Researchers believe this is due to a combination of environmental and genetic factors. Although the situation is usually a coincidence, it sometimes runs in families. Hemifacial seizures are very rare. It involves the muscles around the mouth and eyelids. Unlike the other two types, it generally affects only one side of the face. Most often, the cause is blood pressure on the facial nerve.

Causes of eye twitching

The most common culprits behind the dreaded eye twitching say, are stress and fatigue.

Other causes of eye twitching include:

  • Eye irritation
  • Eyestrain
  • Eyes that aren’t straight
  • Eyes that need glasses
  • Medication
  • Use of alcohol, tobacco, or caffeine

To get your eye twitch to calm down, the doctor suggests getting enough rest, cutting back on caffeine, and reducing stress as much as possible. Eye drops also can help if your eyes need moisture.

How is eye twitching treated?

  • In most cases, a small twist is lost. Make sure you get enough rest and cut down on alcohol, tobacco, and caffeine.
  • If dry or irritated eyes are the cause, try artificial tears. This can often reduce a small twist.
  • Until now, doctors have not found a cure for benign blepharospasm. But many treatment options are less severe.
  • Botulinum toxin (Botox, Dysport, Giomin) is the most widely used treatment. It is also often used with hemifacial constriction.
  • A doctor will inject small amounts into your eye muscles to reduce spasms. It will take effect for a few months before slowly disappearing. You will need repetitive treatments.

In mild cases, your doctor may prescribe medications such as:

  • Clonazepam (Klonopin)
  • Lorazepam (Ativan)
  • Trihexyphenidyl hydrochloride (Arten, trioxane, Tritan)

These usually only provide short-term relief.

Alternative therapies:

  • Biofeedback
  • Acupuncture
  • Hypnosis
  • Chiropractic
  • Nutritional therapy
  • Polarized glasses

Scientific studies have not shown that these therapies do not work. If other options fail, your doctor may prescribe surgery. In a procedure called a myotomy, your surgeon removes some of the muscles and nerves around your eyelid.

The surgery will also reduce the pressure of the artery on the facial nerve, which can cause hemifacial spasms. The results are permanent but as likely as any operation.

Eyelid twisting complications

Very rarely, eyelid spasms are a symptom of a more serious brain or nerve disorder. When there are wrinkles on the eyelids as a result of these more serious conditions, they are always accompanied by other symptoms.

Brain and nerve disorders that cause eyelid curvature or eye twitching:

  • Bell’s palsy (facial palsy): A condition in which one side of the face falls off
  • Dystonia: Which causes unexpected back pain and distortion or deformity of the affected area
  • Cervical dystonia (spasmodic torticollis): Which causes spontaneous neck numbness and distortion of the head in awkward positions.
  • Multiple sclerosis (MS): A disease of the central nervous system that causes cognitive and motor problems, as well as fatigue.
  • Parkinson’s disease: Which causes tremors in the limbs, muscle stiffness, balance problems, and trouble speaking.
  • Tourette syndrome: Which is characterized by involuntary movements and vocal contractions.

Undiagnosed corneal scratches can also cause a curl on the eyelids. If you think you have an eye injury, see your optometrist or ophthalmologist right away. Scratches to the cornea can cause permanent damage to the eye.

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