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Published on: April 14, 2014
Importance of clinical tests in ocular myasthenia
Gunjan Saluja1, Asha Samdani2, Priyavrat Bhatia3
1Strabismus and Neuro-ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India gunjansaluja2015@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.
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