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Eyelid Issue/Spasms and Twitching

 

Customer Question

Hi I asked a similar question a few days ago, but some conditions have changed. On Saturday, I was experiencing some soreness in my eye. I went to see an ER doctor for another problem completely unrelated and they looked at my eye and saw nothing wrong. Then on Sunday, the soreness dissipated but my right eyelid was spasming/twitching all day. On Monday, I went to see an Opthamologist who said he sees nothing wrong my eye and I don't have dry eyes. He said the discomfort may have been from inflammation. Since Sunday and once the inflammation improved substantianally, my eye has had this twitching/spasm feeling that comes and goes pretty much all day and the only relief I get is a hot compress or my rubbing the eyelid or squeezing the eyelid together. It mostly occurs on the top eyelid, but infrequently it does occur on the bottom. I get better results from the gel lubricant drops than the fluid, although its temporary relief. Sleep or closing my eyes also helps. Is there any solution to this twitching/spasms of the eyelid? How can one concentrate or effectively do their job with this issue? How long can this last? Its really annoying me and bringing my morale down. I do not suffer from stress, I am a bit of an anxious person. I think this issue is more relieving when I am outside, but I cannot really formally make that a conclusion. I am sleeping just as much as usual and nothing in my life has substantially changed. I also have been addicted to Naphcon for 10 years and the doctor has advised me to stop that as well.

 

Optional Information:
Person's Gender: Male
Person's Age: 38

Already Tried:
Eye Lubricant drops

Submitted: 350 days and 7 hours ago.
Category: Eye
Value: CA$20
Status: CLOSED
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Expert:  Camille-Mod replied 350 days and 2 hours ago.

Hi, I’m a moderator for this topic and I wonder whether you’re still waiting for an answer. If you are, please let me know and I will do my best to find a Professional to assist you right away. If not, feel free to let me know and I will cancel this question for you. Thank you!

Customer replied 350 days and 2 hours ago.

Yup. But I'm patient.

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Expert:  Camille-Mod replied 350 days and 1 hours ago.

Thank you. Sometimes, finding the right Professional can take a little longer than expected and we thank you greatly for your understanding. We’ll be in touch again shortly.

Customer replied 349 days and 21 hours ago.

can you close this case.. I reasked the question again because some conditions have changed.

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Expert:  DoctorReid replied 349 days and 21 hours ago.

Do you want any help?

Customer replied 349 days and 21 hours ago.

Yes

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Expert:  DoctorReid replied 349 days and 21 hours ago.

Are you still having the twitching? ANy other medical problems or medications? Drugs? Alcohol?

Customer replied 349 days and 21 hours ago.

No other medical isssues, no drugs no alcohol. just twiching for the past few days.

Customer replied 349 days and 20 hours ago.

the twitching has now moved to the lower eyelid today.... if i look in a mirror i can see the skin right below the eyelid moving and twitching the eyelid .

Accepted Answer

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Expert:  DoctorReid replied 349 days and 20 hours ago.



Thanks for the additional information.
Well, it sounds like you have fasciculations- which are local involuntary muscle twitching. They can occur anywhere on the body, but are often seen on face, particularly the eyelids. In this case, it is called blepharospasm.
http://en.wikipedia.org/wiki/Blepharospasm
These can be caused by MANY different things:
Diet deficiency
Drug overdose (caffeine)
Drug side effect (such as from Parkinson's drugs)
Exercise
Benign twitches- usually affects eyelid, calf and thumb- triggered by stress or anxiety
Heat exhaustion
Electrolyte abnormalities (calcium and potassium)
Abnormal function of the brain's basal ganglia.
Treatment depends on the cause.

In your age group and without medical issues, it is likely due to stress, exhaustion or electrolyte issues. I would get some rest, try to sleep, drink some gatorate and wait a few more days. If this doesn't stop, then go back to the ophthalmologist. Sometimes they need to inject some botox to stop the spasms.

Hang in there.
best wishes
press the green accept button if this was helpful

Expert TypeEmergency Doctor
Category: Eye
Pos. Feedback: 100.0 %
Accepts: 15
Answered: 5/10/2012

Experience: American Board Certified in Emergency Medicine- can answer eye emergencies

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