Are Cholinesterase Inhibitors, Corticosteroids, or Other Immunosuppressive Agents Effective in Improving Visual Symptoms in Ocular Myasthenia?
Recommendations Given the absence of evidence, it is not possible to make any evidence-based recommendations regarding the effects of cholinesterase inhibitors, corticosteroids, or other immunosuppressive agents in improving the symptoms of ocular myasthenia. Are Cholinesterase Inhibitors, Corticosteroids, or Other Immunosuppressive Agents Effective in Reducing the Risk of Progression from Ocular to Generalized Myasthenia Gravis (MG)? Recommendations For patients with ocular myasthenia, the evidence does not support or refute the use of corticosteroids and/or azathioprine to reduce the risk of progression to generalized MG (Level U). The decision to use such agents should be weighed against the potential for harmful side effects of these medications. Furthermore, it is not possible to make any evidence-based recommendations with regard to the question of whether cholinesterase inhibitors have any effect in reducing the risk of progression to generalized MG. Recommendations cannot be ma