Involuntary eyelid twitching is a common presenting symptom to ophthalmologists. The differential diagnosis of periocular dystonias include eyelid myokymia, benign essential blepharospasm and hemifacial spasm. Each of these has a different cause, management and prognosis. In such patients, it is important to establish the correct diagnosis, rule out underlying pathology and provide a holistic approach to treatment. This range of conditions is of particular interest to aesthetic professionals who are likely to encounter such concerns as they treat the eye area with filler or botulinum toxin. It is important to note, however, that anyone performing these treatments must have the correct training and suitable knowledge of the anatomy and underlying disease. If they do not, I would recommend referring to a specialist.
Eyelid myokymia
Eyelid myokymia presents as gentle twitching of one eyelid, often described as a ‘fluttering’. It usually affects the lower lid, and typically occurs unilaterally. The movement is due to…
