Ocular myasthenia gravis — clinical diagnosis and treatment

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Abstract

The ocular myasthenia gravis has a variable clinical presentation and imitates many diseases with ocular region damaged. The diagnosis of ocular myasthenia gravis is complicated due to low sensitivity of the diagnostic approaches. The article introduces the features of the examination of patients with the ocular myasthenia gravis. The article describes the study methodology and interpretation of Simpson, Gorelick, Cogan`s lid twitch sign, rest and sleep tests, ice test. The article considered features of the treatment of the disease in order to achieve remission and prevent the generalization of the process. Timely diagnosis and optimal choice of treatment strategy can significantly change the quality of patient’s life and influence the subsequent prognosis of the disease.

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About the authors

Irina F. Khafizova

Kazan State Medical University

Author for correspondence.
Email: sclerdissem@mail.ru
ORCID iD: 0000-0003-2561-7456
SPIN-code: 6210-5860
Russian Federation, 420012, Kazan, Butlerov str., 49

Adelia R. Galiavieva

City clinical hospital №7

Email: gal-adelya@mail.ru
SPIN-code: 4337-2858
Russian Federation, 420103, Kazan, Marshal Chuikov str., 54

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2. Fig 1. Patient 63 years old, diagnosis "Myasthenia gravis, generalized form, class 3a". A. Rough blepharoptosis on the right, pseudoretraction of the upper eyelid on the left. B. Gorelik test: resolution of pseudoretraction of the upper eyelid

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Copyright (c) 2021 Khafizova I.F., Galiavieva A.R.

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