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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do Persistent Twitching In The Upper Eyelids Indicate?

I am 61 years old. I have had twitching in my upper left eyelid for the last 4 months. It is quite constant, almost every day for a few seconds at a time and there is no pain but it is very annoying. I saw the ophthalmologist and he said I had a small lesion on the inside of the lower eyelid on the same side so he gave me some eye drops to clear that up. He mentioned a name for the twitching condition but I don t remember it. The twitching has continued. What could be causing this? Is it just age? Should I go back to the doctor or is there something I can do at home to get rid of this. Thank you
Tue, 28 Jul 2020
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General & Family Physician 's  Response
Hello,

Eye twitching commonly happen when the eyes are strained, anxiety, dry eye, sleep deprivation, vitamin B6, B12 deficiency, nerve weakness, developing blepharospasm or developing bells palsy. Excessive caffeine intake may trigger eye twitching. You are suggested to cut on your caffeine intake. Avoid addictions (smoking, alcohol if any. Use warm compress to help your eye relax when it twitches. Take vitamin B6, B12 and vitamin E rich food or supplements.

You can visit an eye specialist, get EMG and Imaging (CT/MRI) done to rule out any developing facial weakness or Bells palsy. You will be treated with antivirals and cortico-steroids if the reports are positive. If needed you may be referred to a neurologist. Get treated at the earliest. Eyelid twitching often goes away on its own with rest or removal of irritating factors. Relax and get adequate sleep.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Nupur K., General & Family Physician
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What Do Persistent Twitching In The Upper Eyelids Indicate?

Hello, Eye twitching commonly happen when the eyes are strained, anxiety, dry eye, sleep deprivation, vitamin B6, B12 deficiency, nerve weakness, developing blepharospasm or developing bells palsy. Excessive caffeine intake may trigger eye twitching. You are suggested to cut on your caffeine intake. Avoid addictions (smoking, alcohol if any. Use warm compress to help your eye relax when it twitches. Take vitamin B6, B12 and vitamin E rich food or supplements. You can visit an eye specialist, get EMG and Imaging (CT/MRI) done to rule out any developing facial weakness or Bells palsy. You will be treated with antivirals and cortico-steroids if the reports are positive. If needed you may be referred to a neurologist. Get treated at the earliest. Eyelid twitching often goes away on its own with rest or removal of irritating factors. Relax and get adequate sleep. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician