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Case report
Importance of clinical tests in ocular myasthenia
  1. Gunjan Saluja1,
  2. Asha Samdani1 and
  3. Priyavrat Bhatia2
  1. 1 Strabismus and Neuro-ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
  2. 2 Vitreo-Retina, Sadguru Netra Chikitsalaya, Chitrakoot, Madhya Pradesh, India
  1. Correspondence to Dr Gunjan Saluja; gunjansaluja2015{at}gmail.com

Abstract

A 24-year-old otherwise healthy male presented to us with unilateral ptosis and contralateral lid retraction with limitation of extraocular movements; the disease had a gradual chronic course, which raised a suspicion of ocular myasthenia. Ice pack test was performed, which improved the ptosis; further investigations confirmed the diagnosis of ocular myasthenia. Patient was started on pyridostigmine and oral prednisolone which improved the extraocular movements and ptosis.

  • muscle disease
  • motor neurone disease
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Footnotes

  • Contributors GS and AS worked up and diagnosed the patient. GS and PB wrote the manuscript. AS reviewed the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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