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It’s rare, but some brain and nervous system disorders can also cause eyelid twitching. These include:
Parkinson’s disease
Brain damage
Multiple sclerosis
Bell’s palsy
Tourette’s syndrome
Dystonia
Eye Twitching Complications
Some people can have eye spasms all day. They might go on for days, weeks, or months. They could distract you and affect your quality of life.
If your twitch doesn’t go away, you may wink or squint all the time and have trouble seeing.
Talk to your doctor if:
The twitch lasts more than 1 week
Your eyelid closes completely
Spasms involve other facial muscles
You have eye redness, swelling, or discharge
Your upper eyelid droops
If your doctor suspects a brain or nerve problem, they’ll check for other common signs of the condition. They might refer you to a specialist such as a neurologist.
Eye Twitching Treatment
Most minor twitches go away on their own. It might help to get plenty of rest and cut back on alcohol, tobacco, and caffeine. If dry eyes or irritated eyes are the cause, try over-the-counter artificial tears.
There’s no cure for benign essential blepharospasm. But your doctor can help ease your symptoms. The most common treatment is botulinum toxin (Botox, Dysport, Xeomin). It also treats hemifacial spasms.
Your doctor will inject small amounts into your eye muscles to ease the spasms. The effect lasts a few months and it slowly wears off. You’ll need more than one treatment.
These usually offer short-term relief.