Blepharospasm is an abnormal contraction in the eyelid muscles. These involuntary eyelid twitches can be caused by a number of things, such as: an allergy, an irritation of the eyeball, crying, caffeine, anxiety, or an acute emotional event. Treatments for this are reducing stress or cutting out caffeine, botulinum toxins and in some cases surgery. Dr. Rizzuto's recommendation is botulinum toxins.