![]() ![]() Most spasms resolve on their own without needing any help. The short spasm you experience can be categorized as eye myokymia or an eyelid twitch.īut if you experience strong spasms forcing your eyes close, it is categorized as blepharospasm.Įye twitching is unpredictable in nature and is usually painless and harmless in nature. It might feel like a gentle tug under your eyelid and be mild in nature. While for some, it can last for a few minutes, for others, it may last for days. It gets annoying when you can’t stop the pulsating under your eyes. ![]() Consult your doctor if there’s a case of severe eye twitch persisting for a long time. Try managing your lifestyle by reducing caffeine intake, taking balanced meals, less screen time, using eye drops, and applying a hot or cold compress. Stress, fatigue, dry eyes, eyestrain, allergies, nutritional imbalance, or caffeine can cause it. When performing eyelid hygiene, you can use over-the-counter eyelid cleansers or use baby shampoo diluted with warm water and a cotton bud / pad to gently wipe your eyelid margin near the root of the lashes in a horizontal direction, twice a day.Pulsating vein under eye is a normal health condition that can have causes that aren’t due to underlying disease but are related to your current lifestyle. Performing eyelid hygiene to remove excessive oil on the eyelid margin can help To prevent the common eyelid myokymia, simple measures include: ![]() However, repetitive injections are required as the effect of the injection will wear off, typically after 4-6 months. For both hemifacial spasm and BEB, botulinum toxin may be injected into the eyelid and facial muscles to relieve the spasm. For hemifacial spasm, neurosurgery to move the offending vessel away from the facial nerve is the only way to treat the root of the problem. If the twitching involves half of your face, or both eyes simultaneously and is persistent, do seek medical attention as it may be more than the usual eyelid myokymia.įor hemifacial spasm, a magnetic resonance imaging (MRI) is recommended to exclude a compressive lesion on the facial nerve on the same side.įor both hemifacial spasm and BEB, conservative measures rarely help. However, blepharospasm have been reported to be caused by neurological conditions such as stroke and Parkinson disease etc. The term “essential” means no underlying cause and majority of the cases we see occur in isolation without any evidence of neurological or eye disease. In this condition, the patient may experience involuntary lip pursing, chewing or tongue movements etc. Sometimes BEB can progress to involve other muscles of lower face and neck in a condition termed Meige Syndrome. If severe, it can interfere with the patient’s vision and performing of their everyday activities such as crossing the road. This progresses to involuntary spasm or closure of both eyelids. Initially, there is increased frequency of blinking in response to bright light, wind or stress. In benign essential blepharospasm (BEB), the patient experiences intermittent involuntary spasm and closure of both eyelids. Hemifacial spasm does not resolve spontaneously. In less than 1% of the time, the compression is due to a brain tumour compressing on the facial nerve. Most cases are thought to be caused by compression of the facial nerve responsible for innervating the facial muscles on the same side, by a normal pulsating blood vessel in close proximity which have enlarged with age. In hemifacial spasm, the person experiences intermittent, involuntary contraction of the muscles of one half of the face (the eyelid closes as if it is winking and the half the mouth is drawn upwards). This is almost always benign and usually resolves spontaneously or with conservative measures. It is usually precipitated by fatigue, eye strain, stress, too much caffeine or local irritative factors such as dry eyes or oily eyelids (meibomitis and blepharitis). It is intermittent and can last for several days to weeks. It affects only the lower or upper eyelid on one side. Some describe it as ”feeling a heartbeat “ below the eye. This is the sensation of eyelid “jumping". Most normal people will experience this at least once in their lifetime. The most common type of eye twitching we see is eyelid myokymia. ![]() Singapore National Eye Centre (SNEC), a member of the "The eyelid twitches because of intermittent bursts of electrical activity in the nerves innervating the eyelid muscles (orbicularis oculi) leading to intermittent involuntary contraction," explainsĭr Loo Jing Liang, Head & Senior Consultant from the ![]()
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