DEAR DR. GOTT: My eyelid has been twitching for over four months. Could you give me your expertise on this problem? It would be greatly appreciated.
DEAR READER: Everyone experiences a twitching eyelid (blepharospasm) occasionally and, in general, it is harmless. It can be associated with alcohol, lack of sleep, smoking, stress, irritation of the eye or inner lid, fatigue, caffeine, and physical exertion.
If both eyes are affected, the condition may be benign essential blepharospasm. Pink eye, light sensitivity, blepharitis (eyelid inflammation), and dry eyes may occur prior to the twitching or may accompany it.
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