Thank you both for the replies.

I was told to not bother with the neuro- eye doc after the abnormal sfemg but now after the sudden worsening in vision and the migraines it's causing they are trying to get me an emergency appointment. The neurologist said she wants to make sure it's myasthenia before starting heavier meds, I want to be sure as well. Prednisone has been bought up and being diabetic, it will make it very difficult to manage.

The report sent to my family doctor fatiguable weakness in my eye muscles and just this week she said noticeable weakness in my arms after making me hold them at my side for less than 2 minutes. I do see a lung doc and luckily am fine myasthenia wise on that front.