Test Your Knowledge

In distinguishing ocular myasthenia gravis from thyroid eye disease, which clinical feature most reliably suggests ocular myasthenia gravis rather than thyroid eye disease?
The conventional Hess test has limitations in diagnosing ocular myasthenia gravis. Which of the following best reflects a limitation of this diagnostic tool, and how newer methods may improve assessment?
A 52-year-old patient presents with fluctuating ptosis and vertical diplopia. Cranial nerve palsy is excluded. Which diagnostic consideration is most appropriate, and why?
Which treatment strategy has been shown to reduce the risk of conversion from ocular to generalized myasthenia gravis?
Why might triamcinolone be considered preferable to dexamethasone for peribulbar treatment of ocular myasthenia gravis?

A. Esotropia with constant diplopia B. Ptosis with diurnal variability and fatigability C. Pseudoptosis due to contralateral lid retraction D. Progressive proptosis with strabismus

Test Your Knowledge: Clinical Decision-Making in Ocular Myasthenia Gravis

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