Now what?
 

Been on Mestinon for 4 months. Starting to not work........by 1200 noon, I struggle to see one image. My double vision begins. This has gotten worse over the last 6 weeks. Any ideas what’s next? Many thanks!

How much Mestinon are you on? Mestinon doesn’t always work for eye issues. Ask your neurologist or optho-neurologist. I don’t have eye issues so I’m not much help. Jim

I don't have MG but do have MS and can sympathize with vision problems like double vision.

I found this about ocular MG but the only suggestion here is wearing an eye patch over one eye. It might be worth a try if you haven't already done that:

https://www.brighamandwomens.org/neu...sthenia-gravis