Eyelid myokymia is an involuntary, fine, rippling contraction of the orbicularis oculi muscle, typically unilateral and more common in the lower eyelid. Contractions are continuous but non-forceful, and generally self-limited. Unlike voluntary or reflexive eyelid closure, these contractions are spontaneous and localized. It is commonly mistaken for hemifacial spasm, which is forceful and often involves broader facial musculature. Etiology The exact cause of eyelid myokymia is incompletely unders
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