Whether blepharospasm is self-healing or not depends on the cause of the spasm and cannot be generalized. Blepharospasm is often divided into physiological spasms and pathological spasms. If the spasm is caused by excessive eye use, stress, or lack of sleep, it is a physiological spasm and can usually heal on its own with massage, hot compresses, and adequate rest around the eyes. In contrast, pathological spasms caused by disease are difficult to heal on their own and require medication or surgery to recover. Spasms caused by local inflammatory infections such as blepharitis and blepharitis usually have symptoms such as eye itching, eye pain, redness and swelling, and are usually relieved by anti-inflammatory treatment such as antibiotic eye drops or oral antibiotics. Spasms caused by abnormal brain function or neuroregulation can be treated with deep brain electrode stimulation and local injections of botulinum toxin, but the effect varies from person to person and may not be fully recovered. Patients with blepharospasm should not be careless, as it may be a sign of certain diseases and should be promptly seen by an ophthalmologist and, if necessary, a neurologist for head CT and other tests to clarify the cause and provide timely treatment.