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A 28-year-old male asked:

what causes eyelids to have a twitch.almost as if it were muscle twitches?

4 doctor answers11 doctors weighed in
Dr. Robert Kwok
Pediatrics 33 years experience
Cause is not known: Trembling of an eyelid, which happens in normal people, is called myokymia (an involuntary, spontaneous, quivering of a few muscle cell bundles within a muscle). Myokymia starts and stops spontaneously. In the eyelids, it can last a few minutes to a few days. One should see an ophthalmologist (md eye doctor) if such symptoms persist, keep recurring, or are combined with any other symptoms.
Dr. Carolyn Quist
Gynecology 35 years experience
Most of the time it is related to stress and fatigue.
Feb 2, 2012
Dr. Joseph Giangiacomo
Ophthalmology 53 years experience
Fatigue, stress.: The technical term is "myokymia, it frequently involves the eyelid muscles that attach to the skin. It is usually a self limiting process. It can be associated with stress and caffeine consumption.
Dr. Zachary Klett
Ophthalmology 32 years experience
Eyelid muscle spasm: The orbicularis muscle is a circular muscle beneath the eyelid skin that enables the eyelids to blink and close. When the delicate nerve fibers responsible for stimulating the orbicularis muscle to contract become irritable, this can result in a transient involuntary localized twitch (myokymia), or this may be due to a condition known as blepharospasm (eyelids only) or hemifacial spasm (lid/face).
Dr. Tal Raviv
Ophthalmology 26 years experience
Stress: You are describing myokymia - an involuntary twitching of the skin around the eyelids. It's believed to be related to lack of sleep, stress, and caffeine use. Change these risk factors and it should abate.

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Last updated Jan 5, 2019

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