18 doctors weighed in:
What does it mean when my bottom lid of my eye is twitching?
18 doctors weighed in

Brian Fishman
Emergency Medicine
9 doctors agree
In brief: Fasciculations
Small, local, involuntary muscle contractions are called fasciculations.
They're caused by spontaneous firing of lower motor neurons & can occur in any skeletal muscle in the body. They're commonly encountered in healthy people and are rarely concerning. The cause is most commonly benign. They should subside, but if they continue to bother you, your primary care doc can refer you to a neurologist.

In brief: Fasciculations
Small, local, involuntary muscle contractions are called fasciculations.
They're caused by spontaneous firing of lower motor neurons & can occur in any skeletal muscle in the body. They're commonly encountered in healthy people and are rarely concerning. The cause is most commonly benign. They should subside, but if they continue to bother you, your primary care doc can refer you to a neurologist.
Brian Fishman
Brian Fishman
Answer assisted by Brian Fishman, Medical Student
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Dr. Marci Dietrich
Bariatrics
1 doctor agrees
In brief: Myokymia "nerves"
Small twitching for a few seconds usually of a lower eyelid, or both; but it can also be elsewhere on face or neck; sometimes on a leg.
The "beats" only last a few seconds and then are done. My experience with myokymia has been with patients that are overly tired and stressed. Rest usually helps this condition; and it may or may not happen again. If the symptoms are progressive see specialist.

In brief: Myokymia "nerves"
Small twitching for a few seconds usually of a lower eyelid, or both; but it can also be elsewhere on face or neck; sometimes on a leg.
The "beats" only last a few seconds and then are done. My experience with myokymia has been with patients that are overly tired and stressed. Rest usually helps this condition; and it may or may not happen again. If the symptoms are progressive see specialist.
Dr. Marci Dietrich
Dr. Marci Dietrich
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Dr. Beth Friedland
Ophthalmology
1 doctor agrees
In brief: Maybe blepharospasm
Eyelid twitching could be caused by nerve irritation, called blepharospasm, in the orbicularis muscle around the eyelid.
Fatigue, dry eyes and other stress factors may play a role. If it is very symptomatic, the overactive nerve firings can be quieted with Botox injections, but often, improved lubrication and resting the eyes from a visually demanding task can be very helpful.

In brief: Maybe blepharospasm
Eyelid twitching could be caused by nerve irritation, called blepharospasm, in the orbicularis muscle around the eyelid.
Fatigue, dry eyes and other stress factors may play a role. If it is very symptomatic, the overactive nerve firings can be quieted with Botox injections, but often, improved lubrication and resting the eyes from a visually demanding task can be very helpful.
Dr. Beth Friedland
Dr. Beth Friedland
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Dr. Tal Raviv
Ophthalmology
In brief: Myokymia
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.

In brief: Myokymia
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.
Dr. Tal Raviv
Dr. Tal Raviv
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Dr. Price Kloess
Ophthalmology
In brief: In most cases, nothi
In almost every case, this is benign and trasient.

In brief: In most cases, nothi
In almost every case, this is benign and trasient.
Dr. Price Kloess
Dr. Price Kloess
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Dr. Michael Gold
Ophthalmology
In brief: Usually nothing
As long as it does not involve the cheek or the corner of the mouth, it is innocent.
Can last for up to six weeks- usually, stress, anxiety, lack of sleep and will usually go away in the same mysterious way it began. If it is both eyes, involving the cheek, or longer than six weeks, go to the ophthalmologist.

In brief: Usually nothing
As long as it does not involve the cheek or the corner of the mouth, it is innocent.
Can last for up to six weeks- usually, stress, anxiety, lack of sleep and will usually go away in the same mysterious way it began. If it is both eyes, involving the cheek, or longer than six weeks, go to the ophthalmologist.
Dr. Michael Gold
Dr. Michael Gold
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Dr. Benjamin Chun
Ophthalmology
In brief: Eye irritation
Usually nothing. Sometimes its caused by eye irritants or dry eyes, so using artificial tears may help.
If it lasts more than a day, see and eye doctor...

In brief: Eye irritation
Usually nothing. Sometimes its caused by eye irritants or dry eyes, so using artificial tears may help.
If it lasts more than a day, see and eye doctor...
Dr. Benjamin Chun
Dr. Benjamin Chun
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Dr. John Jarstad
Ophthalmology
In brief: It's too dry
This is usually due to dry eye, blepharitis or "dandruff" of the eyelids or it could be due to an undiagnosed thyroid condition.
Stress and long hours at the computer are other possibilities. If using over the counter eyedrops doesn't help you should see an ophthalmologist.

In brief: It's too dry
This is usually due to dry eye, blepharitis or "dandruff" of the eyelids or it could be due to an undiagnosed thyroid condition.
Stress and long hours at the computer are other possibilities. If using over the counter eyedrops doesn't help you should see an ophthalmologist.
Dr. John Jarstad
Dr. John Jarstad
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