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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 10561
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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got a twitch that I feel in the bottom eyelid of my left eye.

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got a twitch that I feel in the bottom eyelid of my left eye. It isn't the usual twitch that people usually experience, including myself, which I can usually see when looking in the mirror, i can't see anything mobile, yet i keep having this feeling of a little twitch. When I hold my finger on my lower lid and pull it down it no longer is there. it is just continuous and has been happening for over 3 weeks. No other symptoms. It comes and goes, sometimes when am busy and not thinking about i don't feel it i guess.
Hi. My name isXXXXX and I have two decades of ophthalmology experience. I'm online and happy to answer your question today.

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:

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Dr. Rick MD FACS

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