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Dr. Stan
Dr. Stan, Ophthalmologist
Category: Eye
Satisfied Customers: 2701
Experience:  Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon
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My right eye lid for the past 2 weeks has been twitching

Resolved Question:

My right eye lid for the past 2 weeks has been twitching every so often, and sometimes i can just feel it tense up. The last 3 days or so it has been getting blood shot in spots almost like a Subconjunctival hemorrhage. There not really solid blood spots thou, just a lot of enlarged blood vessels together.   Eye drops dont even make it go away. Again its only happening in my right eye and i dont know why.
Submitted: 6 years ago.
Category: Eye
Expert:  Dr. Stan replied 6 years ago.

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It is likely that you are experiencing the symptoms of blepharospasm with associated subconjunctival hemorrhage due to conjunctiva blood vessel rupture. The cause of the blepharospasm can include eyelid or cornea irritation, especially from the irritation of the nerves around the eyelid. I suggest that you follow-up with your eye doctor for closer evaluation of the eyelid, especially under the back of eyelid (palpebral conjunctiva) to exclude any irritating lesion. In general, the subconjunctival hemorrhage is not harmful, but the area of the enlarged conjunctiva blood vessels need close evaluation under the Silt-lamp by the eye doctor. It will slowly resolve with regular use of preservative free tear drop such as Refresh plus or Genteal tear drop 4 times daily for about 2 weeks. If you are using any other over the counter drop beside tear drop, I suggest that you stop. In addition, avoid use of aspirin, Ibuprofen, Advil, Motrin, Aleve, and blood thinners such as coumadin or Plavix, as these can make the subconjunctival hemorrhage worse. If no irritating lesion is found on the eye lid, and dry eye syndrome is also excluded, then the blepharospasm can be resolved with treatments such as Botox injection.

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