What should I do if my eyelids have been throbbing for months? Under normal circumstances, a person’s eyes blink constantly so that they can brush tears onto the cornea and conjunctiva, thus nourishing and protecting the structures on the surface of the eye, and the person does not feel anything noticeable. However, if the nerves in charge of the eyelid muscles are overstimulated, they will command the muscles to contract repeatedly, allowing the eyelids to move continuously, and the person will feel the eyelids jumping. Most eyelid fluttering is transient, and most eyelid fluttering is really not a major problem, but a reaction to eye strain or excessive tension. However, if the eyelids are jumping many times a day, and more and more frequently, for several months and still not good, then you should go to the hospital for an examination. If it continues for three months and jumps again, it is likely to be a precursor of facial muscle spasm. Facial muscle spasm, also known as facial muscle twitching or lateral facial muscle spasm, is a series of symptoms of dysfunction of one side of the facial nerve disturbed by external factors, patients are mostly older than 40 years old, the ratio of men to women is 2:3, mostly occurring on one side, bilateral onset is rare, accounting for about 4%. The onset of the disease usually begins with one side of the eyelid jumping, and then gradually aggravates the expansion to the face, the corners of the mouth, and in severe cases may involve the ipsilateral neck. Why do you get facial spasm? In a healthy person, the nerves and blood vessels work in their own way. However, as people grow and age, the blood vessels slowly change. And as we age, the blood vessels seem to loosen up and grow longer, slowly becoming curved. The bent blood vessels sometimes accidentally touch the surrounding nerves, and with each beat of the heart, this blood vessel will have an impact on the nerve, and after a long time, the myelin sheath between the nerve fibers will be worn out and missing. The facial muscle will do the corresponding activity with the conduction signal, and the eyelid will jump, and even half of the face will twitch. Will the eyelid jumping of facial muscle spasm affect my vision? In general, the eyelid jumping of facial muscle spasm will not affect vision. However, because the long-term eyelid jumping is not effectively controlled, it is difficult to open the eyes to see clearly, and it is impossible to read newspapers and do needlework. Some people worry about eye problems and go to the ophthalmologist, but after examination, they find that their eyes are not sick, and some are misdiagnosed and mistreated. Medical research shows that the most common cause of facial muscle spasm is due to vascular compression of the facial nerve root. The facial muscles on the left and right sides of a person are controlled by two facial nerves, and the two nerves are rarely compressed at the same time, so facial muscle spasm often develops unilaterally, for example, in the early stage, one side of the eyelid jumps, and after it becomes severe, not only the eyelid jumps, but also the corners of the mouth on the same side will follow the twitching, and some people even have tinnitus and jaw twitching on the same side, but rarely both sides jump. When facial muscle spasm is effectively treated through surgery, the eyelid jumping disappears quickly and the vision returns to normal. Microvascular decompression for facial myasthenia? Microvascular decompression refers to the magnification and reoperation of the intracranial nerve vessels through a high-powered microscope, placing a spacer between the nerve and the vessel, thus relieving the compression of the vessel on the root of the facial nerve, restoring the normal function of the facial nerve, and relieving the symptoms of facial muscle twitching. This technique has the advantages of minimally invasive, high safety and low recurrence rate, especially it can completely preserve the function of blood vessels and nerves, which has become the most effective method for treating facial muscle spasm in the world, and it is the only way to completely cure facial muscle spasm.