• Users Online: 485
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
Year : 2022  |  Volume : 34  |  Issue : 2  |  Page : 164-166

Off-center presentation of ocular myasthenia

Deparatment of Ophthalmology, IGMC&RI, Puducherry, India

Correspondence Address:
Dr. Mary A Stephen
No 6, Vallalar Street, Kadhirkamam - 605 009, Puducherry
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/kjo.kjo_227_21

Rights and Permissions

Myasthenia gravis is an autoimmune condition with varied presentations. In this, we report a 70 years old diabetic male who came complaining of diplopia. On examination, he had ptosis and restriction of extraocular movements on the right side with bilateral normal pupillary reflexes. We diagnosed him to have diabetic neuropathy initially, however his ptosis worsened, leading us to revise the diagnosis. Ice pack test was positive, repetitive nerve stimulation showed a decremental response, and serum acetylcholine receptor antibodies were positive, confirming the diagnosis of ocular myasthenia. We started the patient on oral pyridostigmine and steroids and his symptoms improved. This report emphasizes the need for a high degree of suspicion for the timely diagnosis of ocular myasthenia gravis.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded37    
    Comments [Add]    

Recommend this journal