Occ. lazy eye lid

Hi doc,

I haven't been well this last year and thinking most of that is hormonal. Anyway, the start of last year...particularly when fatigued, my right eyelid feels abit lazy. In looking in the mirror, it's hardly noticeable. I haven't mentioned it, as it seems minor. Later, I began getting sever eye twitching: left bottom corner of right eye and after tonsillectomy, ironically it switched to the left eye. However, the twitching subsided 2 months post tonsillectomy.

I went to the P.O. the other evening, feeling fatigued and in leaving the building, holding the door open for another woman, my right eye drooped enough to obstruct my line of vision.
It lasted no more than 3 seconds. Again, I was fatigued, feeling a little hurried (nervous)and I was moving from a warm environment into a cold one. Is this just a "burp" so-to-speak? This hasn't happened before and I suppose if it happened again, would warrant looking into further. I just wanted to hear your thoughts first.

I did have a CT of both head & neck (having to do with sinus & tonsils)early last year and I have had fairly normal blood work. Too, I did visit an Optometrist who gave me an eye exam. All was fine, just abit far-sighted.

Thank you.

[Forum-OD-MP]

the twitching is no big deal.  myokymia.  threads on it here.  related to fatigue, stress, caffeine use.  can be helped by topical antihistamines (like the newly OTC drug ZADITOR) and oral antihistamines like claritin.

the droopy is a little more concerning.  could be benign, but could also be MYASTHENIA GRAVIS:

http://www.myasthenia.org/information/summary.htm

that would go with your other complaints (fatigue, etc).  you might need further workup for MG

[borninquisitive]

Thank you Doc. I wasn't concerned with the twitching, other than wondering if it was a first symptom regarding the eye when considering the others.

In Aug. of 06 I had a chest x-ray (thought pneumonia)which came back negative. I just looked up MG and see that the thymus is often enlarged with those with MG under a certain age. I'm near 35. If it were enlarged, would it not have "stood out" upon looking at the x-ray?

Thanks again,
~Kate

[Ag-i-doc]

not necessarily, no.  depends on what they were looking for on the chest x-ray and who took it & who read it.

no, you cannot assume that just b/c no one said anything about your thymus in aug that you are okay.