An eyelid twitch is a general term for spasms of the eyelid muscles. These spasms happen without your control. The eyelid may repeatedly close (or nearly close) and reopen. This article discusses eyelid twitches in general.
The most common things that make the muscle in your eyelid twitch are fatigue, stress, caffeine, and heavy alcohol intake. Rarely, they can be a side effect of a medicine used for migraine headaches. Once spasms begin, they may continue off and on for a few days. Then, they disappear. Most people have this type of eyelid twitch once in a while and find it very annoying. In most cases, you won't even notice when the twitch has stopped.
You may have more severe contractions, where the eyelid completely closes. These can be caused by irritation of the:
Sometimes, the reason your eyelid is twitching cannot be found. This form of eyelid twitching is called blepharospasm. It lasts much longer and is often very uncomfortable. It can also cause your eyelids to close completely.
Common symptoms of eyelid twitch are:
Eyelid twitching most often goes away without treatment. In the meantime, the following steps may help:
If twitching is severe or lasts a long time, small injections of botulinum toxin can control the spasms.
The outlook depends on the specific type or cause of eyelid twitch. In most cases, the twitches stop within a week.
There could be some loss of vision if the eyelid twitch is due to an undetected injury. This occurs rarely.
Call your primary care doctor or eye doctor (ophthalmologist or optometrist) if:
Reviewed By: Franklin W. Lusby, MD, ophthalmologist, Lusby Vision Institute, La Jolla, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.