I was told 8 months ago by eye dr that I have lower lid myokymia. Could this this be due to my small fiber neuropathy? Treatments? Driving me nuts!

Myokimia. Means that just the obicularis muscle is in spasms. Treatment is to treat causes. Fatigue, stress. Occasionally may be due to eye irritation. Talk to your eye doctor again to get specific treatment.
No relationship. Agree with dr jackson's advice, and would add that the orbital myokymia is merely a co-morbidity without any direct relationship to the "small fibre neuropathy". However, is your neuropathy biopsy proven, or just conjectural, and has a cause been uncovered, as specific therapy can result in reversal in many cases.