An eye twitch is an involuntary spasm of the muscles in the eyelid. Blepharospasm is the medical term for eyelid twitching. Eyelid twitching usually occurs every few seconds and lasts for a few minutes. It may come and go over a period of days or weeks. Sometimes the twitching results in the eye being held closed until the movement stops, but this is not always the case.
In most cases of eyelid twitching, no identifiable cause can be found. However, certain environmental and behavioral factors may worsen eyelid twitching, such as caffeine consumption, stress, and smoking. Eyelid twitching may also accompany irritations or infections of the eye.
In rare cases, eyelid twitching, usually when accompanied by other disordered movements, can be a symptom of a chronic neuromuscular disorder such as Tourette's syndrome.
- Benign essential blepharospasm is a rare, benign condition characterized by abnormal blinking movements in both eyes.
- Hemifacial spasm involves involuntary movements of the muscles around the eye and mouth on one side of the face only.
Eye twitching is typically not associated with pain and is usually only a mild annoyance. Visual disturbances do not occur unless the eye is forced shut by the spasm. Typically, the spasm goes away on its own without the need for treatment. Botulinum toxin (Botox) injections have been used to relieve eye twitching in chronic conditions such as benign essential blepharospasm and hemifacial spasm.
Other causes of eye twitch
- Benign Essential Blepharospasm
- Corneal Irritation
- Eyelid Spasm
- Foreign Body in the Eye
- Hemifacial Spasm
- Lack of Adequate Sleep
- Medication Side Effects
- Sensitivity to Light

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Causes of Eye Twitch
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Bell's Palsy (Facial Nerve Problems)
Bell's palsy is one type of facial nerve paralysis. The seventh cranial nerve controls the muscles of the face, and although scientists do not know the exact cause of Bell's palsy, they think it may be due to nerve damage from an infection, for example, the flu, common cold viruses, and more serious infections like meningitis. The symptoms of Bell's palsy vary from person to person, but can include mild weakness to total paralysis, dry eye, dry mouth, eyelid drooping, drooling, mouth drooping, dry mouth, changes in taste, and excessive tearing in one eye.
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Dry Eyes
Dry eyes are caused by an imbalance in the tear-flow system of the eye, but also can be caused by the drying out of the tear film. This can be due to dry air created by air conditioning, heat, or other environmental conditions. Treatment may involve self-care measures, medications, or rarely, surgery.
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Eye Cancer: Intraocular (Uveal) aMelanoma Treatment
Melanoma is a serious form of skin cancer that develops when the pigment-producing cells (melanocytes) that give the skin its color, which are also present in the eyes, become cancerous. When melanoma develops in the cells of the eye, it is known as intraocular melanoma. Treatments for intraocular melanoma include surgery, watchful waiting, radiation therapy, photocoagulation, and thermotherapy.
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Fatigue and Exhaustion
Fatigue can be described in various ways. Sometimes fatigue is described as feeling a lack of energy and motivation (both mental and physical). The causes of fatigue are generally related to a variety of conditions or diseases, for example, anemia, mono, medications, sleep problems, cancer, anxiety, heart disease, and drug abuse.Treatment of fatigue is generally directed toward the condition or disease that is causing the fatigue.
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How Can I Get My Eye To Stop Twitching?
A blepharospasm (eye twitch) is a harmless, involuntary spasm of the muscle of the eyelids, which may resolve on its own. If the twitching isn't caused by an underlying condition, getting more rest and avoiding alcohol and caffeine may help stop it.
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Muscle Spasms
Muscle spasms are involuntary muscle contractions that come on suddenly and are usually quite painful. Dehydration, doing strenuous exercise in a hot environment, prolonged muscle use, and certain diseases of the nervous system may cause muscle spasms. Symptoms and signs of a muscle spasm include an acute onset of pain and a possible bulge seen or felt beneath the skin where the muscle is located. Gently stretching the muscle usually resolves a muscle spasm.
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Parkinson's Disease
Parkinson's disease is a slowly progressive neurological disease characterized by a fixed inexpressive face, a tremor at rest, slowing of voluntary movements, a gait with short accelerating steps, peculiar posture and muscle weakness, caused by degeneration of an area of the brain called the basal ganglia, and by low production of the neurotransmitter dopamine. Most patients are over 50, but at least 10 percent are under 40.
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Pink Eye (Conjunctivitis)
Pinkeye, also called conjunctivitis, is redness or irritation of the conjunctivae, the membranes on the inner part of the eyelids and the membranes covering the whites of the eyes. These membranes react to a wide range of bacteria, viruses, allergy-provoking agents, irritants, and toxic agents.
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Stress
Stress is a normal part of life, but chronic or severe stress can be harmful to your health. Learn what happens in your body when you are stressed and how you can manage your response.
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What Are the Types of Eye Care?
Many common eye disorders resolve without treatment and some may be managed with over-the-counter (OTC) products. It's important to visit a physician or ophthalmologist is the problem involves the eyeball itself or the condition hasn't improved after 72 hours of use of an OTC eye care product.
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What Are You Lacking When Your Eye Twitches?
In some cases, eye twitches may indicate that you are lacking nutrients such as vitamin B12, vitamin D, magnesium, iron, and electrolytes.
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What Does An Eye Infection Look Like?
An eye infection may bring about the following changes in the eye: A pink tint in the whites of the eye, swollen red or purple eyelids, crusty lashes or lids, and/or discharge of fluids which may be yellow, green or clear.
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What Is a Twitching Eye a Sign of?
A blepharospasm (eye twitch) is a harmless tic of the eyelid muscle, which may resolve on its own. Conditions that may cause eye twitch include blepharitis, dry eyes, light sensitivity or conjunctivitis. Nerve disorders can also cause eye twitching.
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When Should I Be Worried About Eye Twitching?
An eye/eyelid twitch (myokymia), is an involuntary, repeated spasm of the eyelid muscle. It can happen in the upper or lower lids. Eye twitching is usually painless and harmless. It often resolves without treatment. Though less common, eye twitching is sometimes the first sign of a chronic movement disorder.
Examples of Medications for Eye Twitch
- acetylcholine
- cyclopentolate
- Isopto Carpine (pilocarpine hydrochloride ophthalmic solution)
- mineral oil/petrolatum ophthalmic
- multivitamins, vision
- onabotulinumtoxinA, Botox, Botox Cosmetic
- oxymetazoline ophthalmic
- Paremyd (hydroxyamphetamine Hydrobromide 1% and tropicamide 0.25%)
- Polyethylene Glycol 400/Propylene Glycol Ophthalmic
- Retisert (fluocinolone acetonide intravitreal implant)
- Side Effects of Susvimo (ranibizumab)
- Susvimo (ranibizumab)
- tetrahydrozoline ophthalmic
- Xiidra (lifitegrast)
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