I have had an eye twitch in my left eyelid for over 5 months. It happened right after a chiropractic adjustment.

Question

I have been to acupuncturists, eye doctor, chiro and have tried everything but the twitch hasn’t gone away. Eye doctor did many tests and my left eye is dry and so I’m taking fish oil. I also have the anti glare on my glasses which has helped. I’m taking magnesium supplements as well. I do not have any other neurological symptoms. Blood work was OK. Tried tonic water. My eye gets REALLY agitated with caffeine so I’ve eliminated that. It’s been really stressful. Should I try Botox on that eyelid?

Kenneth Hughes, MD · Answer

Thank you for submitting your concern.Yes Botox can be done to improve a twitch of the eye. For the best results I would highly recommend you consult with a Board-certified plastic surgeon. Best of luck.

Mark Berkowitz, MD · Answer

diva29 thank you for your question.  An in person consultation is necessary to determine your best course of action.  It appears that the most likely cause of your twitch is Dry Eye syndrome  (keratitis sicca).  If this is properly treated the hemifacial spasm may resolve.  This may include:Artificial tear drops Lubricant ointment Punctal plugsHumidificationAs this does not currently affect both eyes, this is not blepharospasm as this is a bilateral disease.  If it continues neurologic imaging may be necessary. Once all of the above takes place, botox may be part of the treatment regimen

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Eyelid twitching can most definitely be treated with botox and I would see a specialist to avoid eyelid drooping issues.  Hope this helps.

Caroline W. Vargason, MD PhD · Answer

Thank you for the question. There are different forms of eyelid twitching. If your twitch is only one lid, then it is called myokymia & can be treated with Botox, Dysport or Xeomin. Since myokymia can be temporary, the injections are not often needed every 3-4 months, and in some cases repeat treatment is not necessary.
I recommend seeing someone experienced with evaluating & treating facial twitching or spasms &mdash; an Oculoplastic Surgeon or Facial Plastic Surgeon.
Best wishes from Boise, Idaho. -Dr. Caroline Vargason

Elba Pacheco, MD · Answer

Hi and thank you for reaching out for an opinion regarding your eyelid twitching. While there are conditions such as: essential blepharospasm (affects both sides) and hemifacial spasm (affects only one side) which cause twitching of the eyelids, many people experience episodes of temporary and benign eyelid twitching, that comes and goes for a day or a few days and then stops all by itself. This benign temporary condition is called eyelid myokymia. When the myokymia persists and won’t go away, small amounts of Botox can be used to stop the Malen sure you consult a good Oculoplastic surgeon, someone who specializes on the eyelids. Best wishes, Dr Elba Pacheco

I have had an eye twitch in my left eyelid for over 5 months. It happened right after a chiropractic adjustment.

Answers (8)

Answer: Botox/Dysport/Xeomin for eyelid twitch

Answer: Botox/Dysport/Xeomin for eyelid twitch

Answer: Treatment for eyelid myokymia, or benign twitching

Answer: Treatment for eyelid myokymia, or benign twitching

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I have had an eye twitch in my left eyelid for over 5 months. It happened right after a chiropractic adjustment.

Answers (8)

Answer: Botox/Dysport/Xeomin for eyelid twitch

Answer: Botox/Dysport/Xeomin for eyelid twitch

Answer: Treatment for eyelid myokymia, or benign twitching

Answer: Treatment for eyelid myokymia, or benign twitching

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Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.