Ocular Myasthenia

Mohammed Al-Haidar, Michael Benatar, Henry J. Kaminski

Research output: Contribution to journalReview articlepeer-review

17 Scopus citations

Abstract

Ocular myasthenia is a form of myasthenia gravis in which weakness is restricted to the ocular muscles and may produce significant visual disability. Patients present with fluctuating ptosis, diplopia, or a combination of both. Examination may show any type of ocular motility deficit ranging from isolated muscle palsy to complete ophthalmoplegia. Cogan lid twitch, enhanced ptosis, peek sign, and saccadic fatigue are specific examination findings that support the clinical diagnosis of myasthenia gravis. Confirmation of the diagnosis is challenging with autoantibody serology, and repetitive nerve stimulation studies are often negative.

Original languageEnglish (US)
Pages (from-to)241-251
Number of pages11
JournalNeurologic Clinics
Volume36
Issue number2
DOIs
StatePublished - May 2018

Keywords

  • Acetylcholine receptor
  • Double vision
  • Extraocular muscle
  • Myasthenia gravis
  • Ocular myasthenia
  • Prednisone
  • Ptosis

ASJC Scopus subject areas

  • Clinical Neurology

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