This flickering is usually a harmless muscle spasm called eyelid myokymia. Even with sleep, it can be triggered by stress, caffeine, or digital eye strain. Your lubricating drops are a great step, as dry eyes can also contribute. Try applying a warm compress to your eyelid and reducing caffeine intake. While typically benign and self-limiting, if the twitching continues for several more weeks, spreads to other facial muscles, or causes your eye to fully close, please consult an eye specialist for a proper checkup.

Moxifloxacin is an antibiotic, which targets bacteria, so it will not cure a viral infection like viral conjunctivitis. Viral eye infections typically must run their course, which often takes two to three weeks to fully resolve. Your lubricating eye drops are excellent for soothing irritation in the meantime. Since it has been a week without improvement, I highly recommend checking back in with your eye care professional. They can confirm the diagnosis, ensure there is no secondary bacterial infection, and discuss ways to keep you comfortable while your body clears the virus.

It sounds like you are experiencing digital eye strain, which is very common and easily managed. For quick relief, you can use over-the-counter lubricating eye drops (artificial tears) containing ingredients like carboxymethylcellulose or polyethylene glycol. These help soothe and rehydrate dry, tired eyes. Avoid "redness-relief" drops, as they can worsen irritation over time. Additionally, try the 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds, and remember to blink frequently. If your eye pain persists, worsens, or is accompanied by vision changes, please consult an eye specialist for a proper examination.

When you have already taken out your contacts and tried Refresh Tears. Because removing your lenses and using lubricating drops has not brought relief, it is very important to have an eye specialist examine your eye promptly, ideally today. Contact lens wearers are more vulnerable to corneal infections or scratches that require specific treatment. Please keep your contact lenses out, avoid rubbing your eye, and seek an professional evaluation to ensure your eye heals safely and comfortably.

These symptoms often point to a viral infection, which typically takes 7 to 10 days to resolve. Your medications, including Levoday (levofloxacin), Lotepred (loteprednol), and Refresh Tears, help manage symptoms, but viral infections simply need time to clear. A fever returning every 10 hours is common during the first few days as your body fights the virus. Please continue resting and staying hydrated. However, since you are using Lotepred, please consult your doctor if your eyes or fever do not improve within the next 48 hours.

Cycling exposes your eyes to high-speed wind, dust, and temperature changes, which can rapidly dry out the ocular surface or trigger highly sensitive corneal nerves. This localized irritation often causes intense pain that doesn't leave visible signs during a standard indoor exam. To help protect your eyes, I highly recommend wearing wrap-around, wind-blocking cycling glasses and applying preservative-free lubricating eye drops before you head out. Please discuss this with your eye specialist to see if a tear film evaluation is right for you.