I don't think its normal. Myokymia can have all sorts of bizzare triggers like fatigues, stress, caffeine, etc. That may be yours.
Merry Christmas and Happy Healthy New Year to you also.
JCH III MD
Dr. Hagan,
I also notice when I PURPOSELY close my eyes very tighlty and re-open them, they often will twitch/spasm slightly. Nothing any worse than when they do it on their own. But, if I purposely close them really tight, it seems to CAUSE a slight spasm. Is this normal for myokymia?
thanks and Merry Christmas!
Yes it can occur in the upper lid, that's where mine was. It can occur in one or both eyes. My experience is one is far more common than two. I suppose its possible that phenylepherine could make the muscles more sensitive (it does the heart muscle) but I don't think there is any researach on that.
JCH IIIMD
jeepers, sorry, just thought of one more quesiton I wanted to ask...
Could the cold medicine with the phenlephrine have possibly aggravated my eyes and caused them to spasm?
Thanks, Dr.
I appreciate the info! Yes, this is just a mild, irritating twitch/spasm on my upper lids, nothing that totally closes my eyes. I have two more questions...
That article you sent said it mostly occurs in the lower lid, but mine has been 99% in my upper lids. Is it ok that it is mostly on the upper lids?
Also, my Ophthalmologist said that if it wasn't resolved in a week to return to her. At the time, it was only happening in ONE eye. She said that if it happened in both eyes, it could be bletharospasm. Is this ALWAYS the case or can myokymia happen in both eyes, as well?
thanks again!
I personally have had it and it has lasted several weeks. We had one of our staff members that had it and it lasted 3 months. She was so concerned that we actually did some tests (MRI) which were totally normal. It finally cleared up after 4 months. that's the longest I know of.
Note also that I'm talking about eyelid twitch. Not large coarse spasms of the eye completely shut and contractures of half the face.
JCH III MD
Thanks for the info. I'm actually 20 though...:-) . Just mentioned Mom because I am a "starving college student" still living at home. haha.
Yes, I did see an Ophthalmologist, not an optometrist.
If it is indeed something very minor and benign, how long can it last? Is it something that could last for weeks or months? It is monstly just aggravating.
thanks again for the info!!
If your mother took you to a non-physician, limited care eye provider (optometrist) you need to ask your mother to take you to a medical doctor that provides medical and surgical eye care (Ophthalmologist or Eye MD).
If your mother doesn't know of one she can ask your family MD for a referall or go to www.aao.org
You problem sounds like benign and very common myokymia or an irritable eye muscle.
Paste this link in your internet browser and you and your mother read this article:
http://www.emedicine.com/oph/topic607.htm
Note in your reading that eyelid myokymia is not the same as superior oblique myokymia.
The odds are hugely in your favor that this is a benign irritable muscle and nothing like a tumor or pressure on a blood vessel.
If necessary print this out and show it to your mom. Mom if you are taking your child to an optometrist start taking him to a real MD eye physician (ophthalmologist).
John C. Hagan III MD Board Certified Ophthalmologist, Fellow American Academy of Surgeons
Editor, Missouri Medicine medical journal