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Aarhus Eye Clinic
Home / Eye diseases / Eyelid twitching

Myokymia, tics and blepharospasm

Eyelid twitching

Most people know a flutter in the eyelid that comes and goes. It is harmless and goes away by itself. More rarely, the eyelids close involuntarily, and this can be treated.

DangerousRarelyTriggersStress, lack of sleep, coffeeTreatmentUsually none
Harmless

Ordinary twitching is harmless. Book an appointment if it lasts for several weeks, or if the eye closes.

Three types

Myokymia

A fine, fluttering twitch in the upper or lower eyelid of one eye. Very common and harmless. It is triggered by stress, lack of sleep, caffeine, screen work and dry eyes, and usually goes away after days to weeks.

Tics

Frequent blinking or squeezing of the eyes, especially in children. Often temporary and worst when tired or tense.

Blepharospasm

Involuntary spasms that make both eyes squeeze shut, so it can be hard to see. Worst in bright light and under stress. Rare and mostly seen after the age of 50.

What you can do yourself

  • Get enough sleep and take breaks from screens
  • Cut down on coffee, energy drinks and alcohol
  • Treat dry eyes with artificial tears
  • Warm compresses can help

Treatment of blepharospasm

Blepharospasm is treated with small injections of botulinum toxin into the muscles around the eye. The effect usually lasts 3–4 months, after which the treatment is repeated. Dark glasses and treating dry eyes can also help.

Book an appointment or contact your GP if

  • the twitching lasts more than a couple of weeks
  • the eyelid closes completely, or it is hard to keep your eyes open
  • the twitching spreads to the cheek or the corner of the mouth on the same side
  • the eyelid droops

What happens at our clinic?

  • We examine the eyelids and the surface of the eye, because dry eyes and blepharitis often make twitching worse.
  • For blepharospasm or twitching of one whole side of the face, we refer you for botulinum toxin treatment or to a neurologist.

This text is general information and does not replace an examination. If you are unsure about your symptoms, call us.