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Real members of MGteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

Double vision help?

A MGteam Member asked a question 💭
Slidell, LA
February 17
 · 
Reactions
A MGteam Member

This is what I do.
I take a vitamin supplement called lutein for eyes. 40mg once a day.
I sleep with an eye mask on.
I use cold compresses on my eyes.
I wear shades all the time.
I cover my windows with blackout curtains. They can be stylish.
Out eyes get tired so easy.
Double vision for me is like a flare because it comes and goes.
I just take more naps. Closing my eyes always help eyes regain strength.

February 18
A MGteam Member

Interestingly , I had MONOCULAR DIPLOPIA in both eyes which were caused by my mild CATARACT issues . After Cataract surgery in both eyes around 90 % of my Diplopia issues dramatically improved .
My MG continues to cause some diplopia however it is so much better . Your NEURO doc will let you know what MG treatments are available for treating diplopia caused by MG.
If you have cataracts , mild or otherwise , I would ask your OPTH doc to check you for monocular diplopia and if you have it , cataract surgery may be beneficial.

February 17
A MGteam Member

Yes, Prisms in my glasses take away the double vision. However, I have a new prescription that hasn't been filled, so I'm seeing double off and on. I need to get a ride to take care of this. I think you would be happy with prisms in your glasses.

February 17
A MGteam Member

Prism lens did help me a lot, John. Sometimes I just have to close my eyes and rest. I’m sorry you are going through this. It’s such a pain.

February 17
MGteam

How can double vision from myasthenia gravis be managed?

Double vision happens when the muscles controlling your eye movements become weak or fatigued, causing your eyes to become misaligned. The good news is that several treatment options can help.

Medications that may improve double vision
- Pyridostigmine (Mestinon) Show Full Answer

How can double vision from myasthenia gravis be managed?

Double vision happens when the muscles controlling your eye movements become weak or fatigued, causing your eyes to become misaligned. The good news is that several treatment options can help.

Medications that may improve double vision:
- Pyridostigmine (Mestinon) improves nerve-muscle communication and can reduce eye muscle weakness
- Corticosteroids like prednisone help control the immune response
- Intravenous immunoglobulin (IVIG) helps regulate the immune system

Practical solutions:
- Prism lenses can be attached to your glasses to correct double vision by adjusting how light enters your eyes
- Wearing an eye patch over one eye can eliminate double vision
- Placing tape over one lens of your glasses works similarly to an eye patch

What helps:
Double vision often improves with rest, so closing your eyes periodically throughout the day may provide relief. Symptoms are typically worse late in the day or after prolonged eye use, like driving long distances.

MGteam members have shared success with treatments: one member found prism lenses eliminated their double vision, while another used an eye patch to read and watch TV comfortably. Another member reported Mestinon helped keep their eyelid open and improved their vision.

Talk with your neurologist about which treatment approach might work best for your situation.

February 17

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