Double vision returning after stopping prednisone is a sign that the underlying muscle weakness in your eyes hasn't fully resolved — and it's something your neurologist needs to know about right away so they can reassess your treatment plan. There are several directions your care team might consider:
- Restarting or Show Full Answer
Double vision returning after stopping prednisone is a sign that the underlying muscle weakness in your eyes hasn't fully resolved — and it's something your neurologist needs to know about right away so they can reassess your treatment plan. There are several directions your care team might consider:
- Restarting or adjusting corticosteroids like prednisone to get symptoms back under control
- Pyridostigmine (Mestinon) to improve nerve-to-muscle communication and reduce eye muscle weakness
- Intravenous immunoglobulin (IVIG) to help regulate the immune system
- Immunosuppressants such as azathioprine or mycophenolate mofetil for longer-term management While waiting to see your doctor, there are some practical tools that can help manage double vision day-to-day:
- An eye patch over one eye to reduce double vision
- Prism lenses fitted by an ophthalmologist to help realign your vision
- Tape over one lens of your glasses as a simple temporary fix One MGteam member shared: *"I went to my ophthalmologist and got fitted with prism lenses for my glasses. They take away the double vision."* Another noted that Mestinon helped keep their eyelid open and improved their symptoms.
The key takeaway — don't wait on this one. Returning symptoms after stopping a medication is important clinical information your team needs to hear.
May 12
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