About three weeks ago I developed a lower lid spasm (myokymia?) after flying\nnorth for a weekend. I wear contact lenses and it seems to have started as\nan irritation that led to the spasm (although it could have been the other\nway around). I also travelled the following week and the irritation\npersisted as well asthe intermittent spasm. After returning home I greatly\nreduced my lens wear time but the spasm and irritation got worse, peaking on\nThanksgiving. Since then I have not worn a lens in the affected eye. The\nspasm continues but the irritation is much less, although I do have some\nmild discomfort in the affected eye. The discomfort goes away at night and\ncomes back when I use the eye (with glasses).\n\nSome other clues:\n\nI have dry eye in the affected eye and have a SmartPlug punctal plug in the\nlower punctum.\nWhen first flying north I experienced some bad sinus pain around the\neffective eye before landing (I've had this once before with no other\neffect). The spasms started the next day -\- coincidence?\n\nMy ophthomologist said it's a benign spasm and will eventually go away -\-\nnot to worry. She later prescribed an antibiotic ointment for the\nirritation, which seems to have helped that but not the spams.\n\nFor the past week I have greatly reduced caffiene intake, started a\nmagnesium and calcium supplement, but have had difficulty getting enough\nrest. I also have gotten less aerobic exercize than normal due to the\ntravelling and other issues.\n\nQuestions:\n\nIs the spasm causing the irritation and discomfort or vice versa? The\nspasms did get worse with a contact lens inserted.\n\nCould the punctal plug have anything to do with it? Could it have shifted\ndue to flying and is irritating a nerve or muscle? Or could it have\nmigrated totally out and my eye is now dry and that is causing the spasms\nand discomfort?\n\nIs there some other sinus condition (note the pain while flying) that could\nbe causing the spasm?\n\nWill the spam just go away like it has in the past (although it lasted 1 or\n2 days at most and was not as severe then)?