“When should I be worried about eye twitching?”

Eyelid twitches or spasms are usually caused by stress, fatigue or caffeine. They usually go away without treatment in a few days or weeks. If they are not improving a complete ophthalmologic exam should be performed.

There are several causes for this. See an ophthalmologist to be diagnosed

There are many causes to eye twitching and the most common have to do with neurological triggering of the superior levator muscle. Additionally, it can be caused by a foreign body embedded in the Cornea or lid or in the tear film. Additionally, a chalazion, commonly known as a “Sty” can be the cause of twitching of the lid. Treatment by removal of the foreign body or Chalazion of present can be effective. If neurological, Botox injection has been successful to break the cycle of twitching. This product by ALLERGAN Pharmaceutical has been used by ophthalmic plastic surgeons to decrease or eliminate Superior Levator Spasm as well. In this neurologic condition, the eyelid clenches closed tightly and cannot be opened without manipulation, or Botox. The Neurological component can be brought about during stressful episodes in the life of some persons.

Roger Ohanesian, MD