Eye Twitching
Featured Expert
Updated April 23, 2026
Eye twitching is an involuntary movement of the eyelid muscles. Neuro-ophthalmologist Amanda Henderson of the Wilmer Eye Institute explains the causes, symptoms and more of this common condition.
Key Points
- Eye twitching is a common condition that may run in families.
- The exact cause of eye twitching is not known, but the condition can originate in the motor nerves of the brain.
- Dry eyes, stress, fatigue, eye strain, and certain medications can contribute to an episode.
- Eye twitching is temporary in most cases and goes away on its own. Medication and occasionally surgery can address more persistent cases.
What is eye twitching?
Eye twitching is a common, sometimes hereditary condition that can be classified into two categories:
- Eyelid myokymia: This form is a mild case of occasional eyelid movement in which most patients do not require treatment.
- Benign essential blepharospasm: This form involves sustained, involuntary movement that results in partial or complete closure of the eyelids. Patients with benign essential blepharospasm may have significant functional impairment and require long-term treatment of the condition.
What causes eye twitching?
The exact cause of eye twitching is not known but can be caused or aggravated by a range of factors, such as:
- Stress
- Eye strain
- Certain drugs and medications, including caffeine
- Dry or irritated eyes
- Insufficient sleep
What are symptoms of eye twitching?
Eye twitching affects the muscles in the eyelid and causes twitching or involuntary blinking.
Mild twitching of the eyelid can feel more noticeable than it actually is — observers are not likely to notice a twitching eyelid in another person.
In more severe cases, twitching can result in forceful eyelid closure that lasts for seconds, minutes, or even hours. Symptoms may become more noticeable over time.
How can I stop eye twitching?
Mild cases of eye twitching are self-limiting, meaning they resolve on their own. There are some steps you can take to help the process along.
- Get more sleep
- Reduce your caffeine and/or alcohol intake
- Try stress reduction methods such as exercise, breathing exercises, or meditation
- Use artificial tear eye drops to alleviate dry eyes
How is eye twitching treated?
If eye twitching lasts for weeks, or results in difficulty in opening the eye or difficulty seeing, contact your eye doctor to determine next steps.
Your doctor may recommend medications or a treatment plan for botulinum toxin injections. Botulinum toxin is injected under the skin around the eyes. The toxin relaxes and weakens the muscles just underneath the skin, and each set of injections prevents spasms for about three months.
Side effects of these injections may include minor bruising at the injection sites, temporary eyelid drooping, dry eyes, or temporary double vision.
In rare cases, surgery may be recommended for severe cases of eye twitching if symptoms are not adequately controlled by the botulinum toxin injections.
Medically reviewed by Amanda Henderson, MD
