Why is my eye twitching (Eyelid Myokymia)?

​Many people have experienced the annoying feeling that the eyelid is twitching. Eyelid myokymia is described as continuous and fine contractions that affect the lower eyelid mainly. The causes of this condition are not well known. It usually occurs in healthy persons and in studies is shown to be precipitated by fatigue, anxiety, stress, exercise, and caffeine consumption. (1). Female gender and cold weather are risk factors for chronic eyelid myokymia. (3)
 
The feeling is described as gentle, constant, rippling contractions that spread through the affected muscle. The orbicularis oculi is the most commonly affected muscle. These contractions are self-limited, periodic, and lasting seconds to hours. Occasionally, the contractions become chronic and continue for several days or even a few weeks before resolving (2). In rare cases, the same side of upper and lower eyelids involvement can occur together. (2)
 
There can be other rare disorders that can cause this issue. A medical appointment is necessary if the condition persists more than a few weeks or if other symptoms appear such as dropping , swelling or twitching in other areas, or loss of control of the muscle (1). This would require a complete examination.
 
How to help this condition. Rest, decrease or elimination of risk factors, such as alcohol drinking, smoking, and caffeine intake are effective ways to manage eyelid myokymia. In case of persistent myokymia for more than three months, more interventions may be necessary. (4)
 
From a biochemical perspective B2, B3, Manganese and Zinc helps break down Acetylcholine that affects muscle contraction. This also may help manage eye twitching.
 
 
 
 
References

1. Jafer Chardoub AA, Patel BC. Eyelid Myokymia. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560595/
2. Khalkhali M. Topiramate-Induced Persistent Eyelid Myokymia. Case Rep Psychiatry. 2016;2016:7901085.
3. Moshirfar M, Somani SN, Shmunes KM, Ronquillo YC. Will Tonic Water Stop My Eyelid Twitching? Clin Ophthalmol. 2020;14:689-691.
4. Banik R, Miller NR. Chronic myokymia limited to the eyelid is a benign condition. J Neuroophthalmol. 2004 Dec;24(4):290-2.