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eyelid twitch
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eyelid twitch

I started 2 months ago with a droopy right eye that stopped drooping after 4 weeks and then started twitching of the upper lid and a feeling of constant pressure in my right eye. The twitching has been intermittent, but pretty consistent throughout the day. had an MRI that showed 2 tiny lesions and 1 larger legion but neurologist said they are non-specific and definately ruled out MS.  A couple of days ago my left lower eyelid started twitching and I now feel pressure in that eye. When both eyes twitch at the same time it is very annoying. Any thoughts? Oh yeah...saw an optomologist and said my eyes look great. I am bein tested by my neurologist for a few auto immune diseases including myasthenia gravis.
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Avatar_dr_f_tn
Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with your doctor.

Without the ability to examine you and obtain a history, I can not tell you what the exact cause of your symptoms is. However I will try to provide you with some useful information.

Mild high frequency eyelid twitching not associated with any other neurologic or eye problem is a frequent condition that is benign; the symptoms are a brief eyelid flutter often un-noticeable to others but felt by the patient. This is called eyelid myokymia and is benign without consequence), occurs more with fatigue.

If there are more obvious eyelid movements of both eyelids, such as forceful contractures, or a twitching, winking motion, blepharospasm is one possibility. One sided eyelid contractions with some cheek and mouth contractions could be hemifacial spasm, and when there is contracture of mouth and tongue (dystonia), a diagnosis of Meige's syndrome may be present. In general, the latter conditions are most often benign though bothersome, though in some cases, a problem of the brainstem or specific brainstem nerves being pressed on by small vessels can occur (as in hemifacial spasm). A normal MRI makes a central nervous system cause less likely.

Continued follow up with your physicians is recommended.

Thank you for using the forum I hope you find this information useful good luck.
2 Comments
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Avatar_n_tn
Thanks for your response. This twithing has been going on now since ealry August and is getting more frequent, more intense and as I said in my last post it has moved to both eyes. When both eyes twitch at the same time, it is a very uncomfortable feeling. I am not any more tired or anxious than I usually might be. Shoould I just accept that this is a benign condition and deal with this for as long as it lasts?
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