Persistent twitching of the lower eyelid of the right eye

Feb 27, 2023 Source: Cainiu Health
Dr. Cui Xin
Introduction
Persistent twitching of the lower eyelid of the right eye may result from either physiological or pathological factors. Pathological causes include orbital cellulitis and facial nerve paralysis. After identifying the exact underlying cause, patients can receive appropriate symptomatic treatment. Factors such as excessive fatigue, emotional instability, and sudden temperature changes may interfere with the normal function of blood vessels and nerves around the eyelid, leading to physiological muscle spasms.

The persistent twitching of the lower eyelid under the right eye may be caused by both physiological and pathological factors. Pathological causes include orbital cellulitis and facial nerve paralysis. Patients should first confirm the exact underlying cause before receiving appropriate treatment.

1. Physiological Factors

Excessive fatigue, emotional instability, sudden temperature changes, and similar factors may affect the normal function of blood vessels, nerves, and other tissues around the lower eyelid, leading to physiological muscle spasms. Individuals affected should identify potential triggers and actively implement corrective measures, which can rapidly relieve or eliminate the symptoms.

2. Pathological Factors

1) Orbital Cellulitis

This condition affects ocular tissues such as the lower eyelid and eyelid margins. Inflammatory stimulation of these areas may lead to pathological changes including frequent spasms, pain, redness, and swelling. Under medical guidance, patients may use medications such as cefoperazone sodium and sulbactam sodium for injection, penicillin V potassium tablets, or erythromycin eye ointment to achieve local and systemic anti-infective effects, thereby shortening the recovery period.

2) Facial Nerve Paralysis

Movement of the lower eyelid is regulated and controlled by the facial nerve system. When pathological changes occur in the facial nerve, patients may experience frequent eyelid twitching, twitching, and spasms. Under a doctor's guidance, patients may use medications such as mecobalamin injection, vitamin B12, or dexamethasone hydrochloride tablets to improve nerve nutrition and alleviate these adverse symptoms.

Other conditions, such as heart failure, may also cause similar symptoms. It is recommended that patients visit a hospital for an in-person consultation and examination, and receive targeted treatment based on the identified cause.