Ocular muscle weakness generally cannot be improved by exercise and requires treatment based on the cause, such as surgery and medication. Ocular muscle weakness is a symptom that can be caused by a variety of reasons, including muscle diseases, such as chronic progressive extraocular muscle paralysis, oculopharyngeal muscular dystrophy, etc.; motor nerve paralysis, such as intracranial aneurysm compression, stroke, brain tumor, diabetic peripheral neuropathy, multiple sclerosis, etc.; autoimmune disorders, such as myasthenia gravis, Guillain-Barré syndrome and so on. Surgical treatment is mainly applicable to people with vascular disease and acute trauma. Hematoma removal, stent implantation, and tumor resection are carried out through surgery to alleviate the manifestation of muscle weakness; medication, most of the diseases such as myasthenia gravis, Guillain-Barré syndrome, diabetes mellitus, and cerebral vascular disease need to be treated by choosing the appropriate medication. Exercise is generally not able to improve the symptoms of ocular myasthenia gravis. There are some neuromuscular junction disorders, such as myasthenia gravis, in which inappropriate exercise can also lead to depletion of transmitters, thus aggravating the symptoms of myasthenia gravis. If you have ocular muscle weakness, seek medical attention to determine the cause and then treat accordingly.