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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Double Vision, Fatigue And Lack Of Focus

My eyesight gets worse over the course of the day to where I can t see to read (even with glasses) by evening. I ve been referred for testing for myasthenia gravis by my opthalmologist in the past. I saw a neuro-opthalmologist several years ago and a neurologist within the last year. The neurologist ran some labs, which came back negative. He did some in-office-type testing and offered to prescribe some kind of antagonist (or something like that). I declined at the time because I have prisms in my glasses (because of what my eye doctor has observed re double vision on a few different occasions now) and they seemed to be doing the trick. I moved about 1000 miles away ... and now am really having trouble. The idea that it could be related to myasthenia gravis concerns me. (I am treated for a cluster of other autoimmune problems, but am okay except the overwhelming fatigue right now.) Anyway --- does my lack of focus increasing over the course of the day justify making an appointment to see someone? And if so, with a new opthamologist?
Mon, 18 Dec 2017
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Neurologist 's  Response
Hello!

Welcome on Healthcaremagic!

Your symptoms are not typical of myastenia, as it may lead to double vision and palpebral ptosis during the evening, but not blurring vision.
Anyway, I would first recommend consulting with an ophthalmologist to check your eyes and exclude an eye problem first.
If your eyes are OK, I would recommend performing a repetitive nerve stimulation and check for anti-Acetil choline antibodies and exclude myastenia.

Hope you will find this answer helpful!
Kind regards, Dr. Aida

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Suggest Treatment For Double Vision, Fatigue And Lack Of Focus

Hello! Welcome on Healthcaremagic! Your symptoms are not typical of myastenia, as it may lead to double vision and palpebral ptosis during the evening, but not blurring vision. Anyway, I would first recommend consulting with an ophthalmologist to check your eyes and exclude an eye problem first. If your eyes are OK, I would recommend performing a repetitive nerve stimulation and check for anti-Acetil choline antibodies and exclude myastenia. Hope you will find this answer helpful! Kind regards, Dr. Aida