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  • What might be causing involuntary eyelid closure and is there a treatment?


    Question:

    I am 63 years old and in the last few months have been having trouble with my eyelids just closing for no apparent reason. Sometimes it will be for a brief period but now has been staying closed for longer periods of time. I do not have insurance and am too young for Medicare. What might be causing this and is there a treatment?


    Answer:

    There are many conditions that may predispose you to involuntary eyelid closure. They include dry eyes, allergy, corneal irritation, etc. There is also a condition called blepharospasm that is associated with uncontrollable spasms (blinking) of the eyelids or difficulty opening the eyes. This condition may be treated with botulinum toxin injections to the eyelids. I suggest that you be evaluated by an ophthalmologist. You may wish to pay for a consultation. If you are unable to afford a visit, access to health care has just improved in the US. There are many opportunities to purchase lower cost insurance through the Affordable Care Act or you can visit a county hospital or free eye clinic in your community. There are treatments for each of the conditions described, but a complete ophthalmologic examination with an accurate diagnosis is the first step to treatment.