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We’ve all had tired eyes from time to time. But when one or both eyelids begin to droop consistently, it might be more than just fatigue or aging. In some cases, ptosis (the medical term for drooping eyelids) is an early warning sign of a deeper, systemic condition—ocular Myasthenia Gravis (MG).

As we observe Myasthenia Gravis Awareness Month, it’s the perfect time to discuss how eye doctors often play a crucial role in identifying this rare yet serious autoimmune disorder.

Understanding Ocular Myasthenia Gravis

Myasthenia Gravis is an autoimmune condition that interferes with the communication between nerves and muscles. In its early stages, it may affect only the muscles around the eyes—this is known as ocular MG.

The most common symptoms include:

• Drooping eyelids (ptosis)
• Double vision (diplopia)
• Eye fatigue that worsens with use

Because these signs can be subtle or mistaken for normal aging, ocular MG is often overlooked—especially in its early stages. However, prompt diagnosis can lead to earlier treatment and help prevent the condition from progressing to other parts of the body.

When Should You Be Concerned?

Occasional drooping from lack of sleep or allergies isn’t unusual. But if your eyelid droop:

• Is persistent or progressive
• Worsens later in the day
• Occurs alongside double vision or muscle weakness

…it’s time to see an eye doctor.

Ophthalmologists and optometrists trained in ocular disease are often the first to spot the early signs of MG. At DLV Vision, we conduct thorough evaluations that go beyond vision—examining muscle function, eye movement, and fatigue response to identify potential neuromuscular concerns.

Why Early Diagnosis Matters

Catching MG early makes a big difference. While there’s no cure, medical treatment can significantly improve symptoms and quality of life. Left untreated, ocular MG can sometimes progress to generalized MG, affecting breathing, swallowing, and limb strength.

Through a combination of patient history, physical examination, and diagnostic testing (like the ice pack test or antibody screening), your eye doctor can refer you to a neurologist if MG is suspected.

Don’t Dismiss Drooping Eyelids

Drooping eyelids aren’t always cosmetic. They can be your body’s way of signaling that something deeper is going on. During MG Awareness Month and beyond, our team at DLV Vision encourages anyone experiencing persistent ptosis or visual fatigue to seek a comprehensive eye evaluation.