the Connection Between Chronic Migraines and Eye Twitching - Neurology

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Chronic migraines and eyelid twitching issues?


Hello, Doctor! I was previously diagnosed with aura migraines at a small clinic, and it has been nine years since my first episode, occurring approximately every four months.
Before an attack, I experience photophobia, blurred vision, visual disturbances like flashes, and partial areas of haziness, followed by unilateral pain lasting about four to six hours.
Currently, I only have pain medication for when an attack occurs and have not been to the hospital for further examination.
I am a computer science student and spend long hours programming.
Recently, my right upper eyelid has been twitching every few minutes for the past four to five days.
Additionally, I have been experiencing some visual disturbances when looking at the computer screen, particularly with focusing on text, and despite lowering the brightness, it still feels glaring.
I would like to know if my current condition requires further examination at the hospital, and whether I should see an ophthalmologist or a neurologist.
Also, could there be a connection between my migraines and the recent eye issues? I am not very familiar with my condition, so I would appreciate your advice.
Thank you.

Lin Xiansheng, 20~29 year old female. Ask Date: 2022/08/20

Dr. Jiang Junyi reply Neurology


Hello Mr.
Lin: You mentioned that "the upper right eyelid keeps twitching, occurring every few minutes, and has been happening for four to five days." Your symptoms are more indicative of migraine-related symptoms.
You also noted experiencing some visual disturbances when looking at the computer screen, especially having difficulty focusing on text, and despite lowering the brightness, it still feels glaring.
I recommend that you first consult an ophthalmologist to rule out issues such as dry eye, among others.
If this is bothersome, you may need to consider preventive medication for migraines.
Recurrent migraine attacks that significantly affect the patient's quality of life or daily activities, especially after ruling out triggering factors, should be managed with appropriate acute treatment medications and lifestyle modifications.
If the frequency of migraine attacks exceeds four times a month or occurs on more than eight days a month, I suggest discussing your concerns with a neurologist for further evaluation and treatment.
Thank you for your inquiry, and I wish you good health and peace.
Dr.
Jiang Junyi, Department of Neurology, Taoyuan Hospital, cares about you.

Reply Date: 2022/08/20

More Info


Chronic migraines and eye twitching can indeed be interconnected, and understanding this relationship is crucial for managing your symptoms effectively. Based on your description, it seems you have a history of migraine with aura, which includes visual disturbances such as light sensitivity, blurred vision, and visual field changes. These symptoms can be quite debilitating and may contribute to your current eye issues.

Firstly, let's address the eye twitching (also known as myokymia) you are experiencing. This involuntary muscle contraction of the eyelid can be triggered by several factors, including stress, fatigue, caffeine intake, and eye strain. Given that you are a computer science student who spends long hours coding, it is likely that eye strain from prolonged screen time is a significant contributor to your symptoms. The fact that you are also experiencing difficulty focusing on text and find the screen brightness uncomfortable suggests that your eyes may be fatigued, which can exacerbate twitching.

Now, regarding the connection between your chronic migraines and the recent eye twitching, there are a few points to consider. Migraines can lead to increased sensitivity in the nervous system, which may heighten your perception of discomfort in various areas, including your eyes. Additionally, the visual disturbances associated with migraines can cause strain on the eyes, leading to symptoms like twitching. Furthermore, if you are experiencing increased stress or anxiety due to your migraines, this could also contribute to muscle tension around the eyes, resulting in twitching.

Given your symptoms and their duration, it would be advisable to seek a comprehensive evaluation. You should consider visiting both an ophthalmologist and a neurologist. An ophthalmologist can assess your eye health, check for any underlying conditions that may be contributing to your symptoms, and provide recommendations for managing eye strain. They may suggest strategies such as the 20-20-20 rule (taking a 20-second break to look at something 20 feet away every 20 minutes) or adjusting your workspace ergonomics to reduce eye strain.

On the other hand, a neurologist can evaluate your migraine history and determine if there are any changes in your migraine pattern or if your current treatment plan needs adjustment. They may also explore whether your migraines are contributing to your eye symptoms and suggest appropriate migraine management strategies, which could include lifestyle modifications, preventive medications, or other therapies.

In summary, your chronic migraines and recent eye twitching may be related, primarily through the lens of eye strain and increased sensitivity. It is essential to address both aspects of your health to improve your overall well-being. Seeking evaluations from both an ophthalmologist and a neurologist will provide you with a comprehensive understanding of your symptoms and help you develop an effective management plan. Remember to prioritize self-care, including regular breaks from screens, proper hydration, and stress management techniques, as these can significantly impact both your migraines and eye health.

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