Case report of ocular myasthenia gravis

Abstract

Myasthenia gravis is a rare type of autoimmune disease wherein the post-synaptic acetylcholine receptors at skeletal muscle’s neuromuscular junctions are destroyed by antibodies. The clinical presentation includes a specific distribution of motoric deficit with no involvement of sensory deficit that gets diminished with rest and usually worsens with excessive use. Hereby, we report a case of a man 35-year-old who presented with bilateral ptosis and diplopia to an ophthalmology outpatient department. Response to ice pack test was positive. Repetitive nerve stimulation demonstrated >15% decremental response. The patient was timely diagnosed and received necessary treatment that showed clinical improvement.