Diagnosing and Treating Myokymia: Your Road to Relief Eye Care November 2, 2023

Diagnosing and Treating Myokymia: Your Road to Relief

Myokymia is described as the involuntary, repetitive contractions of the lower eyelid. While often temporary and benign, myokymia can sometimes be a symptom of an underlying health issue that demands immediate medical attention.

Untreated myokymia can significantly affect the quality of life and interfere with everyday activities, causing social discomfort and stress. Seeking medical assistance from experienced eye doctors like Dr. Paik Dong Won and Dr. Jung Sae Rom from Eyeonce Eye Clinic can provide individuals with personalized management to address eye twitching.

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Causes and Risk Factors

While the exact cause of myokymia may vary from person to person, several triggers, such as the ones listed below, have been identified.

  • Stress and fatigue – When your body is under high levels of stress or fatigue, the nervous system can be imbalanced, and the normal muscle functions are disrupted, leading to muscle contractions such as the involuntary twitching of the eyelid muscles. 
  • Caffeine and alcohol – They can stimulate the nerves and lead to muscle spasms, potentially contributing to eye twitching.
  • Eye strain – Prolonged periods staring in front of the screen, reading in inadequate lighting, or engaging in activities that can strain the eyes may trigger involuntary contractions, thus myokymia.
  • Dry eyes – Insufficient tear production leads to irritation and discomfort, which may result in the muscles around the eyes twitching involuntarily.
  • Nutritional imbalances – Deficiencies in certain nutrients like magnesium can disrupt normal muscle functions, including those responsible for eyelid movement.
  • Hormonal changes – Some studies suggest hormonal fluctuations can affect nerve signaling and contribute to eye myokymia.
  • Underlying health conditions – Neurological disorders like multiple sclerosis or nerve damage due to injuries can lead to involuntary muscle contractions, including those in the eye area.

Other Triggers

  • Conjunctivitis (pink eye)
  • Light sensitivity (photophobia)
  • Dry eyes
  • Environmental irritants (wind, bright lights, or air pollution)
  • Migraine
  • Blepharitis (eyelid inflammation)
  • Smoking
  • Certain medications (such as flunarizine, topiramate, and clozapine)
  • Uveitis (Swelling of the middle layer of the eye)
  • Multiple sclerosis
  • Corneal abrasion

Several causes can trigger myokymia, which can be a different experience for everyone. That is why you must consult an eye doctor for an in-depth understanding of your condition. It is where Eyeonce Eye Clinic comes in. With our specialized knowledge in eye health, expert ophthalmologists, and advanced eye equipment, we can provide accurate diagnoses for myokymia.


Let us take a closer look at the different symptoms associated with eye twitching:

  • Subtle twitching sensation – A subtle and rapid twitching sensation in the muscles around the eyelid is the hallmark symptom of eye myokymia. This sensation resembles a fluttering or rippling movement under the eyelid.
  • Intermittent twitching – Individuals with eye myokymia may experience twitching episodes that last a few seconds to a minute before subsiding. The twitching typically occurs several times a day or intermittently for several days or weeks.
  • Unilateral involvement – It is common for the twitching to alternate between the left and right eye since myokymia often affects only one eye at a time.
  • No pain or discomfort – The twitching is painless, although the sensation might be slightly bothersome or distracting.
  • Benign nature – Eye myokymia is generally benign and does not cause significant concern.

While myokymia is usually harmless, it can be a symptom of an underlying health issue. It is crucial to seek professional advice from experts like those at Eyeonce Eye Clinic so they will rule out any potential underlying conditions that cause eye-twitching symptoms.

Diagnosis and Treatment

Diagnosing and treating myokymia involves a combination of medical assessment and understanding your symptoms. At Eyeonce, these procedures are considered:


  • Medical history – Our expert eye doctors will ask about your medical history and symptoms, mainly the frequency and duration of your eye-twitching episodes.
  • Physical examination – A thorough examination of your eyes and surrounding areas will help rule out other potential causes of myokymia.
  • Additional tests – Depending on the severity of your condition, additional tests such as neurological assessment and tests to check for any nerve-related issues might be recommended to ensure myokymia is not a symptom of an underlying health condition.


  • Botox injections – They can temporarily paralyze the muscles responsible for the eye twitching, relieving the involuntary contractions and reducing the frequency and intensity of twitching.
  • Electromyography (EMG) – EMG is a diagnostic procedure done by placing a small electrode on the skin around the eye to measure the electrical activity of the muscles and nerves. It helps pinpoint the source of twitching.
  • Medication – Prescription medicines such as anticonvulsants or muscle relaxants may be recommended to regulate nerve impulses and muscle activities, reducing the frequency of twitching.
  • Nerve decompression surgery – It is recommended for individuals with myokymia caused by nerve compression or irritation. It involves identifying and releasing the compressed nerve to alleviate twitching.
  • Biofeedback therapy – This treatment option for myokymia uses sensors to monitor physiological responses like muscle activity. With this treatment, people with myokymia can learn to control and reduce muscle contractions through relaxation techniques.

Aside from these treatment options, Eyeonce Eye Clinic offers a stress management program and physical therapy to improve muscle coordination and reduce stress-related twitching. Visit their website to learn more about their eye services.

Book an Appointment

Why choose Eyeonce Eye Clinic Gangnam for eye myokymia treatment?

Utmost Patient Care

Our eye care professionals and staff ensure to give you your money’s worth. We guarantee you receive the best medication possible and assure you that you are guided and understood, making you feel comfortable and confident at every step. 

Comprehensive Consultation

Eyeonce Eye Clinic offers comprehensive eye examinations to evaluate your condition and determine the best myokymia treatment. Our ophthalmologists take their time to cater to your questions and address your concerns, ensuring you make an informed decision about our vision correction options.

Expert Eye Doctors

Our ophthalmologists, Head Director Dr. Paik Dong Won and Medical Director Dr. Jung Sae Rom, are highly knowledgeable and adept in treating eye twitching. They always use the latest techniques and technologies to ensure optimal results.

Frequently Asked Questions

You should visit your eye care professional for myokymia treatment if you experience persistent twitching, especially if vision changes or unusual symptoms already accompany it.

Eye twitching can affect individuals of all age groups but is more common in adults.

Yes, stress can contribute to eye twitching. Stress causes the nervous system to become imbalanced, leading to contractions like those responsible for eyelid movement.


While myokymia is relatively benign and painless, it still demands a timely intervention because it might be a symptom of an underlying health condition. Eyeonce Eye Clinic’s specialized assessments and guidance will find relief and improve your overall eye comfort. Do not let myokymia disrupt your life. Book an appointment with Eyeonce today and receive the care you need for healthy and comfortable eyes.