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Hi. I'm online and happy to answer your question today.
The twitching, especially given the very good workup you have had, is most likely from something called myokymia.
ok. im more concerned about the swelling. although i do assume theyre related since they started at the same time.
Let me give you some information on myokymia and then lets see what we can figure out about the swelling:
The most likely cause of your symptoms is called myokymia. Myokymia is an involuntary, local twitching of a few muscle fibers in the body of a muscle. This twitching, if it occurs in a limb, is not strong enough to actually move a joint but can be felt and sometimes seen as an area of quivering. Myokymia commonly involves the eyelids and muscles around the orbit. It often appears and resolves for no apparent reason and has not been linked to any underlying significant pathology. What causes myokymia? Studies have shown that it is associated with anxiety, stress, lack of good sleep, high caffeine intake and the use of some drugs. The best way to treat myokymia is to get more sleep, decrease caffeine intake and decrease stress. The good news is that myokymia is not a sign of serious underlying pathology and often resolves on its own.
Here is an excellent article on this topic:
Can you upload a picture of the swelling using the paper clip on your screen?
i dont have access to a pic right now. the swelling starts right on edge of eyelid it goes all across eye and goes down a little.. it never gets worse or better. it is squishy.
Hmmm...that is very unusual....
But, the good news? If three ophthalmologists have closely examined your eyelid and found nothing terrible wrong or growing there, then I am sure you will be OK.
Perhaps since it comes and goes it is some sort of unusual allergy....I've seen stranger things in my two decades of practice.
no it doesnt come and go. only the twitching does. the swelling never changes. i ve tried allergy meds and they did nothing
Did the docs come up with any better ideas then blepharitis and stye?
I see that you are typing and that could mean a couple of things: 1. you are actually typing or, 2, the chat system has frozen up. I'll give it a few more minutes and if I've not seen anything from you I'll switch over to the Q&A system. That system works a lot like 'text messaging' but, unlike the chat system, it almost never freezes up. We can continue to work on your question there. :o)