I am on 60 mg every 4 hours and 180 mg at night of mestinon. Like you, I have a central small area where I can see without double vision, anything outside of the small circle is double vision. I have to walk without moving or turning my head so that I do not fall into the wall. The mestinon has made my vision better, but this is as good as it has been since the MG onslaught. I am getting prisms in my glasses to help. It is manageable and I have learned to live with the quirks. If I have a bad vision day, I put ice bags on my eyes and it helps.

I am more concerned with my leg muscle fatigue, breathing and swallowing problems. They are less predictable. My eyes are much more constant and stable.

kathie