Dr. MADHUVANTHI MOHAN

Dr. RENU MAGDUM

Abstract

Purpose : A 11 year old child presented with Left upper eyelid ptosis for past one month. On examination extraocular movements were restricted in all directions. Ptosis examination showed Moderate ptosis of left eye.

Methods : Ice pack test was Positive. Neostigmine test was positive and a diagnosis of Ocular myasthenia was confirmed. RNS test and Acetyl-Cholinesterase antibodies were tested and both were negative. Patient was started on T. Pyridostigmine and T. Prednisolone according to weight.

Results : Patient improved symptomatically after 3 weeks seeing an improvement in Ptosis and extraocular movements.

Conclusion : Ocular Myasthenia is a relatively uncommon disorder that can mimic other neuro-ophthalmic conditions. Different ways of presentation can pose a diagnostic dilemma to the clinician. Effective therapy aims at providing symptomatic relief and preventing generalization of disease and involves the use of anti- cholinesterase inhibitors and corticosteroids.