Abstract

With interest we read the article by Apinyawasisuk and associates about a retrospective chart review on the factors triggering the conversion of seropositive ocular myasthenia (OM) to generalized myasthenia gravis (GM) in 71 patients. 1 Apinyawasisuk S. Chongpison Y. Thitisaksakul C. Jariyakosol S. Factors affecting generalization of ocular myasthenia gravis in patients with positive acetylcholine receptor antibody. Am J Ophthalmol. 2019; https://doi.org/10.1016/j.ajo.2019.09.019 Abstract Full Text Full Text PDF Scopus (4) Google Scholar It was concluded that factors triggering the conversion OM/GM include not taking pyridostigmine or immunosuppressants, smoking, female sex, and thymic abnormalities. 1 Apinyawasisuk S. Chongpison Y. Thitisaksakul C. Jariyakosol S. Factors affecting generalization of ocular myasthenia gravis in patients with positive acetylcholine receptor antibody. Am J Ophthalmol. 2019; https://doi.org/10.1016/j.ajo.2019.09.019 Abstract Full Text Full Text PDF Scopus (4) Google Scholar We have the following comments and concerns. Factors Affecting Generalization of Ocular Myasthenia Gravis in Patients With Positive Acetylcholine Receptor AntibodyAmerican Journal of OphthalmologyVol. 209PreviewTo evaluate the associated factors of conversion of ocular myasthenia gravis (OMG) to generalized myasthenia gravis (GMG) among patients with seropositive acetylcholine receptor antibody (AchR Ab). Full-Text PDF Reply to Comment on: Factors Affecting Generalization of Ocular Myasthenia Gravis in Patients With Positive Acetylcholine Receptor AntibodyAmerican Journal of OphthalmologyVol. 210PreviewWe thank Finsterer and associates for their interest in our study and for giving valuable comments. Full-Text PDF

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