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Dr. Dan B.
Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3343
Experience:  Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
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I am having a muscle (thin and half moom shaped so I dont

Resolved Question:

I am having a muscle (thin and half moom shaped so I dont know if is a muscle or something else) spasm below my right eye above my orbital bone. It has lasted 2 days now and I wonder what it is from or if I should be concerned.
Submitted: 5 years ago.
Category: Eye
Expert:  Dr. Dan B. replied 5 years ago.
Doctor DanB : Hello and thanks for your question. Are you available to chat?
Doctor DanB : What you are experiencing sounds like what is called myokymia.  This is usually associated, at its onset, as an increased rate of blinking.  Many different things can cause this blinking such as irritations to the eye such as wind, smog, dust, and sunlight, but even some noises and moving the eyes and/or head can bring it on.  They tend to turn into more of a spasm over time that the person usually doesn’t have much control over. It can commonly be associated with eye problems including eye pain, tearing, irritation and sensitivity to light.  Many people find sleep relieves their spasming to some extent, but also using artificial tears can help sometimes as well as pulling on the eyelids. A specific cause for myokymia has not been demonstrated for every case; it is thought to be a neurologic disorder that has a multifactorial etiology.  For most people, this resolves spontaneously in several days, but  it's not unheard of for some cases to last 4-6 weeks. If it persists longer than 4 weeks, I would recommend seeing your eye doctor for this. 
Doctor DanB : Does this make sense?
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I dont think it is myokymia as it is not the eyelid. It is under the eye. amuscle under the skin below the eye.


I have to return to work and so may not be able to respond to anything you say until 2:15

Doctor DanB : Actually your orbicularis oculi muscle surrounds the entire eye and extends down to the orbital bone so I do suspect this is myokymia of that muscle. Now of course I can't be sure because I can't examine you, but I suspect this is what's happening.

It is probably that then. I will see my doctor if it persists. I was just hoping I could do something about it as I have a big presentation to do this weekend and dont want to be self conscious. (several of my patients yesterday pointed it out so I know it is noticable). Thanks for your help. I will accept.

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