Can hyperthyroidism-related upper eyelid retraction heal on its own?

Hyperthyroidism refers to an overactive thyroid gland. In most cases, upper eyelid retraction caused by hyperthyroidism cannot resolve spontaneously.

Ocular symptoms caused by hyperthyroidism, including upper eyelid retraction, generally do not improve on their own. This is because thyroid-associated ophthalmopathy (proptosis) results from an autoimmune reaction causing inflammation and proliferation of orbital tissues, which affects the extraocular muscles and fat, leading to symptoms such as bulging eyes and eyelid retraction. This condition usually does not improve without treatment and may progressively worsen if left untreated. Moreover, according to clinical observations and statistics, only a very small number of individuals might achieve spontaneous recovery through methods such as medication, local massage, or warm compresses, but this is limited to cases with very mild symptoms. For most people, treatment usually requires medication or surgical intervention. In addition, treating ocular complications caused by hyperthyroidism requires a comprehensive evaluation of the severity of the condition. Mild symptoms may be relieved by controlling thyroid function and using artificial tears to alleviate eye dryness. However, for moderate to severe cases, treatment may involve corticosteroids, radiation therapy, or surgery to relieve symptoms and prevent visual impairment.