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Case Reports
. 2019 Dec 8;12(12):e231296.
doi: 10.1136/bcr-2019-231296.

Importance of clinical tests in ocular myasthenia

Gunjan Saluja  1 , Asha Samdani  2 , Priyavrat Bhatia  3
Affiliations
Case Reports

Importance of clinical tests in ocular myasthenia

Gunjan Saluja et al. BMJ Case Rep. .

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.

Keywords: motor neurone disease; muscle disease.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Clinical presentation of the patient. Note the unilateral ptosis and contralateral lid retraction.
Figure 2
Figure 2
Note the exo-deviation and limitation of extraocular movements.
Figure 3
Figure 3
Ice pack test.
Figure 4
Figure 4
Neostigmine test. Note the improvement of ptosis after the administration of neostigmine.
See this image and copyright information in PMC

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