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Amer. Orthoptic Jrnl. 55(1):10-12 (2005); doi:10.3368/aoj.55.1.10
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Myasthenia Gravis

Cynthia W. Avilla, C.O.

Correspondence: Requests for reprints should be addressed to: Cynthia W. Avilla, C.O., Houston Eye Associates, 2855 Gramercy, Houston, TX 77025.

Myasthenia gravis is the most common disorder of neuromuscular transmission. It is the "great imitator," masquerading as any internuclear or supranuclear dysfunction of ocular motility. Ophthalmologists and orthoptists are frequently the first medical practitioners to identify the disease because of the high incidence of ptosis and strabismus as presenting signs. Accurate diagnosis is imperative so that appropriate medical management may be initiated.

Key words: myasthenia gravis, variable strabismus, ice pack test






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