We reviewed 4 cases of myasthenia gravis with ocular involvement treated by extended thymectomy. None of the cases had thymoma or responded to systemic corticosteroid. The ages ranged from 54 to 69 years, average 62 years. Myasthenia gravis had been present for 4 to 288 months. Cases were followed up for up to 57 months after surgery. Complete and partial remission of systemic symptoms resulted in 2 cases each. All the 4 cases showed cure of blepharoptosis and improvement in ocular deviations. Diplopia persisted in 2 cases including one with long-standing history. The findings show the usefulness of early thymectomy for myasthenia gravis with ocular involvement which fails to respond to medications including systemic corticosteroid.
|Number of pages||4|
|Journal||Japanese Journal of Clinical Ophthalmology|
|Publication status||Published - Jan 1 2000|
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