Hi, Juanitad. It's nice to see you again.

If you have lazy eye, which can be caused by ptosis, then a patch will "make" the lazy eye work harder. This only works before the age of ten, which I am quite certain you are beyond now!

I had supposed lazy eye diagnosed at age 10 but it was really MG/ptosis. Turns out I've had MG my entire life.

In MG, there's something called "enhanced ptosis." Stupid name really. Anyway, if you pull up on one eyelid, then the other will go down and they can go back and forth like that for awhile. A patch won't change that nor will it change the autoimmune attack of your receptors, just like you said.

I don't think your doc is crazy but not completely well-informed. The only thing that would help you is immunosuppression or Mestinon.

Have you seen a neuro-ophthalmologist to make sure it is the MG? It probably is but with diabetes, you should make sure there isn't some secondary reason making things worse.

I'm glad the prisms work! I really doubt they would "hurt" your eyes or their muscles! It's not really logical.

Hope everything else is going well for you.

Annie