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Medical Forum / General / Vision / August 2005eye muscle spasms problem
Hi all, My lower left eye muscle has been jumping for more than half a year. At the beginning, I didn't feel it but I can see it in the mirror and it made my left eye more saggy than the right eye. Recently besides constant jumping, it gives me more often big twitches which make me uncomfortable. My job makes me staring computer screen about 8 hours on weekdays. I tried to relax eye muscles via icing, closing eyes and more sleep but it didn't helping. I talked to my doctor and she suggested me to see an optimetrist to have a kind of glasses to relax the muscle. My question is: is there any other way to resolve this problem instead of going to see an optimetrist? Any comments are welcome. Helen You are not describing an eye muscle twitch; this is the lower eyelid. There are no glasses that will "relax the muscle". Lid "tics" are short-lived lid muscle twitches ("myokymia"), usuall going away by 6 weeks or so. No treatment needed. Longer than 6 months you fall into another group of lid spasm. If it were bilateral, we would term that "benign essential blepharospasm", usually treated with BOTOX injections these days. BUT unilateral spasm is more uncommon. When it lasts more than 6 months, it is time to see a NEUROLOGIST. This is called hemifacial spasm, in this cases affecting just the lid, for now. Some of these spread to the surrounding cheek and/or mouth. It can becaused by a nerve compressed by an artery, or by a tumor. It needs to be checked out. David Robins, MD Board certified Ophthalmologist Pediatric and adult strabismus subspecialty Member of AAPOS (American Association of Pediatric Ophthalmology and Strabismus) On 8/29/05 8:08 AM, in article 1125328095.710796.38640@o13g2000cwo.googlegroups.com, > Hi all, > [quoted text clipped - 14 lines] > > Helen Hi David, Thank you so much for your expert information. Now I know my lower eyelid muscle is not my eye muscle, they are two different things. But I don't understand 'blilteral'. Does that mean both of my eyes have the same problem? Only my left eye keeps jumping. And most important question is: should I see an OPTOMETRIST to do an eye exam or see a NEUROLOGIST instead? I really appreciate your help! Helen Eyelid spasms, when bilateral, are usually innocuous (harmless) but unilateral (one eye, like you have) for 6 months, should be seen by a neurologist. On 8/30/05 5:23 AM, in article 1125404594.336504.218720@f14g2000cwb.googlegroups.com, > Hi David, > [quoted text clipped - 8 lines] > > Helen Thanks for your reply. I will ask my physician to refer me to a neurologist tomorrow. Thanks again. Helen
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