Minor eyelid twitches require no treatment as they usually resolve spontaneously. Reducing stress, using warm soaks, or correction of any refractive error may help. Some ophthalmologists recommend reducing caffeine usage. Can be treated with medications, biofeedback, injection of botulinum and surgery. Medications and biofeedback are rarely successful in managing blepharospasm, but may be advised in mild cases or cases not responding to other treatment.
Botulinum injections are now the most commonly recommended treatment for blepharospasm.
The injection works for several months, but will slowly wear off and usually needs to be repeated. The treatment is very successful with few side-effects. On those rare occasions when side-effects do occur, they include drooping of the eyelids, double vision or dryness of the eye, but they all subside as the injection wears off. Your ophthalmologist may suggest surgery to remove either the nerve causing the spasm or the spastic muscles themselves. The surgical results are generally permanent and any side-effects are also usually permanent.