<s>[INST] Hello doctor, I am a 66-year-old male with no hypertension and non-diabetic. Since many years I have the dry eye problems and have been using Refresh tears drops or Refresh Liquigel. Last year, I developed frequent twitching of eyes and eye specialist prescribed the same eye drops and fish oil 1200 mg that contains 360 mg of omega 3. Since then, the dry syndrome improved a lot. I am continuing to take the fish oil one gel a day soon after lunch. My eye pressure is normal (L 14 R 17) and no glaucoma. I have mild cataract formation in my right eye and I am advised to wait for another year for its removal. I use only reading glasses. However, one and a half years ago, one eye doctor who checked me for the change of eyeglasses suspected that I may have an open-angle problem and graded it as grade II. But in later check up with another doctor, it was ruled out. My cornea is fine and nerves are fine too. My height is 172 cm and weight 68 to 70 Kg. Current problem and symptoms are as follows:  I have again twitching (not as frequent as it was during last year). Dryness in both eyes. Burning sensation especially during or after computer work. Mild pain on eyebrow area (occasionally). No discharge in both eye and no redness except one mild blast in the right eye extreme left the bottom corner. Normal Vision. No problem in eye rotation.  Concerns:  I am using the refresh eye drops for more than five years. Will it be a problem? Using GenTeal gel continuously for past two months. Will this be of any problem? Taking one capsule a day of fish oil (1200 mg of which 360 mg are omega 3). Will that be good as I am taking it for more than seven months now? Can I continue to take this? Seeking advise for improvement of my present condition or symptoms as mentioned above. [/INST] Hi. You seem to be suffering from what we call myokymia. It is a benign twitching of the eyelids. It has been known to be associated with dry eye and other ocular surface disorders. The other know factors which cause and aggravate it are drinking coffee or tea, working outdoor or exposure to pollution, and less sleep. So my advice to you: I would recommend seeing a doctor in case: I hope you get well soon. Dry eyes. Tear film analysis, slit lamp exam, CT scan for facial nerve compression. Blepharospasm, facial nerve compression. Benign myokymia. Treatment of dry eye. Avoid outdoor exposure to wind and dust. For more information consult an eye care ophthalmologist online.---> </s>