Bhatti M Tariq
Department of Ophthalmology, University of Florida, Gainesville 32610-0284, USA.
Surv Ophthalmol. 2003 May-Jun;48(3):347-55. doi: 10.1016/s0039-6257(03)00022-5.
A 78-year-old woman presented with vertical double vision. The Bielschowsky-Parks' three-step test suggested a left inferior rectus muscle paresis. Diagnostic testing confirmed the diagnosis of myasthenia gravis. Despite treatment with pyridostigmine bromide (mestinon) the diplopia persisted. She refused corticosteroid treatment and sought a second opinion, resulting in three unsuccessful strabismus surgeries to correct her ocular misalignment. The evaluation and management of ocular myasthenia gravis is reviewed and the appropriate timing of strabismus surgery is discussed.
一名78岁女性出现垂直性复视。Bielschowsky - Parks三步试验提示左侧下直肌麻痹。诊断性检查确诊为重症肌无力。尽管使用溴吡斯的明（美斯的明）进行治疗，复视仍持续存在。她拒绝使用皮质类固醇治疗并寻求第二种意见，结果进行了三次斜视手术均未成功矫正眼位偏斜。本文对眼肌型重症肌无力的评估和管理进行了综述，并讨论了斜视手术的合适时机。
