When is eye twitching serious?

When is eye twitching serious?

When is eye twitching serious?

Poets for centuries said “in the blink of an eye” to mean extremely fast, but they had no way to calculate the speed of an occurrence with accuracy. Medical science confirms that blinks occur about 15 times per minute. While normal blinking happens without notice, eye twitching can indicate serious issues. Odessa Eye Doctor Christopher Tumolo O.D., L.D.O provides specialized eye care at Beyond 2020 Vision Specialists conveniently located on Hwy 54 at the Suncoast Expressway.

Understanding Why Eye Twitching Occurs

Almost everyone has experienced an eye twitch from time to time, and it may have lasted for a considerable period. Aside from creating an annoyance that may occur suddenly, eye twitching can present a need to investigate a slight spasm or a detectable movement in either the upper or lower eyelid. The American Academy of Ophthalmologists confirms that most instances cause no harm and indicate no effect on vision.

Some relief from the minor annoyance may come from restful sleep after a period of extreme tiredness. Stress can cause it too, and activities that divert attention from strain and pressure may help get rid of a twitch. Caffeinated drinks may contribute to the condition, and cutting back on consumption may lessen the frequency or duration. Finally, a side effect of dry eyes or irritation may exacerbate a twitch.

However, some instances of eye twitching can occur from neurological issues. Blepharospasm and orbicularis myokymia both can cause eyelid muscles to contract, resulting in longer periods of eyelids staying closed and blocking vision. As distinctly different disorders, myokymia affects the lids themselves while blepharospasm causes the muscles around the eye to experience spasms.

Considering the Onset of Blepharospasm

The National Organization for Rare Disorders cites benign essential blepharospasm as a rare condition that causes involuntary contractions or spasms of the muscles surrounding the eyes. Symptoms may appear with eye twitching or blinking, which may cause the eyes to close. In the disorder’s early stages, eye irritation that worsens with air pollution, bright lights, emotional tension, fatigue, and wind can accompany frequent or forced blinking.


While the disorder does not affect vision, it can cause the eyelids to remain closed for prolonged periods in severe cases. Less extreme occurrences may make it challenging to keep the eyes open. Most patients experience the condition during the day and not while sleeping. However, it usually returns the following day. In addition, diverting activities that demand attention may alleviate symptoms temporarily.


Research has not identified a specific cause of the disorder, leading experts to point to the interaction of more than one factor. Heredity may play a role, and eye trauma may also contribute to the condition. However, most patients who experience the disorder do not present any precipitating event as a potential cause.

Potentially Impacted Populations

Women seem more likely to experience blepharospasm, and it occurs most often in the late 50 age group. While considered a rare disorder, it happens to about five per 100,000 people in the general population of the United States.


At Beyond 2020 Vision Specialists, Dr. Christopher Tumolo can diagnose blepharospasm with a thorough clinical evaluation and identification of symptoms along with a detailed patient history. The Food and Drug Administration approves botulinum toxin as a form of treatment that many patients prefer. Surgery and oral drug therapy offer alternative methods.

Identifying Symptoms of Orbicularis Myokymia

Myokymia, which causes muscles to quiver, becomes orbicularis myokymia when it affects the eyelids. As the most common form of facial myokymia, it produces gentle contractions which occur most often in the lower lid. Documentation at the National Center for Biotechnology Information cites the contractions as periodic and self-limiting, ranging in duration from a few seconds to hours or even days in chronic cases.

Research does not provide much information about why myokymia occurs. It does, however, help explain who seems likely to have the disorder. Healthy people may experience it during periods of increased anxiety, caffeine consumption, exercise, fatigue and stress. While medication-induced myokymia occurs only in rare cases, some medicines may trigger it. In addition, autoimmune diseases and multiple sclerosis may also help cause it.

Comparing and Contrasting Conditions

While both disorders affect eyelids, distinct differences make them not the same thing. Myokymia may come and go, producing a twitch in the upper or lower eyelids. Blepharospasm, however, remains constant as it affects the facial muscles that control winking or closing eyes completely. A significant difference occurs in the visibility of blepharospasm as a condition that others may notice. No one can see the effects of myokymia except someone who has it

Choosing an Old-fashioned Approach to Caregiving

Patients who visit Beyond 2020 Vision Specialists and Odessa Eye Doctor Christopher Tumolo can expect to find a uniquely pleasant experience that marks a departure from traditionally passive approaches to medical services. Instead, his preference for providing old-style compassion and outreach allows Dr. Tumolo to provide a reassuring atmosphere around each patient’s visit.

His dream of providing a personal touch that enhances his scientific knowledge offers convenient access to an Odessa Eye Doctor for residents of Odessa and adjacent Trinity. An active sports enthusiast, Dr. Tumolo enjoys staying fit with M.M.A., kickboxing, and frequent walks with his energetic Jack Russell terrier.