I agree with the Missy's first answer, ocular MG is the first stage of MG…
Now about fasciculations, I know that they can be the indication of both over- or under-dosage of Mestinon, so they may be coupled with MG or only in presence of Mestinon?
At the beginning, I had frequent fasciculations ( I was and still taking Mestinon), which disappeared after 2 or 3 months.
Maurice.