Survey of Ophthalmology
Volume 48, Issue 3 , Pages 347-355, May 2003

Double Trouble☆

  • M.Tariq Bhatti, MD

      Affiliations

    • Corresponding Author InformationReprint address: M. Tariq Bhatti, MD, College of Medicine, University of Florida, Department of Ophthalmology, PO Box 100284, Gainesville, FL 32610-0284

Departments of Ophthalmology, Neurology, and Neurosurgery, University of Florida, Gainesville, Florida, USA

PETER J. SAVINO AND HELEN DANESH-MEYER, EDITORS

Abstract 

A 78-year-old woman presented with vertical double vision. The Bielschowsky–Parks' three-step test suggested a left inferior rectus muscle paresis. Diagnostic testing confirmed the diagnosis of myasthenia gravis. Despite treatment with pyridostigmine bromide (mestinon) the diplopia persisted.She refused corticosteroid treatment and sought a second opinion, resulting in three unsuccessful strabismus surgeries to correct her ocular misalignment. The evaluation and management of ocular myasthenia gravis is reviewed and the appropriate timing of strabismus surgery is discussed.

Keywords:  diplopia, myasthenia gravis, strabismus surgery

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☆ The authors reported no proprietary or commercial interest in any product mentioned or concept discussed in this article.

PII: S0039-6257(03)00022-5

doi:10.1016/S0039-6257(03)00022-5

Survey of Ophthalmology
Volume 48, Issue 3 , Pages 347-355, May 2003

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