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Topics:
Neurology • Neuromuscular
When do you send AChR+ ocular myasthenia gravis patients for thymectomy?
How do you decide if and when to send patients with AChR+ ocular myasthenia gravis for thymectomy?
Answer from: at Community Practice
Patients with ocular myasthenia gravis and thymoma should be referred for thymectomy. The data regarding thymectomy in non-thymomatous ocular myasthenia is more limited; thymectomy can be considered in patients who cannot tolerate, or have refractory symptoms despite, immunosuppressive therapy ...
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Answer from: at Community Practice
I find it hard to justify a thymectomy in a case of ocular myasthenia without thymic hyperplasia.