I developed double vision and a droopy eyelid direction after my 2nd cataract surgery. It took 7 months and 5 providers later to diagnose my ocular mg (no other generalized mg symptoms). I started almost 3 months ago with 60 mg of pyridostigmine 3x a day and am now taking 180mg 4 x a day + 1 mg daily of Glycopyrrolate. Although this helped with double vision I still had blurriness and dizziness. Ten days ago the dr. added 20 mg of prednisone daily, which so far I have not seen any significant improvement. I see the dr tomorrow to see if I go on strictly higher dose prednisone or begin injections or infusions of immunosuppressants. I’m happy to read that the pyridostigmine is helping so my people; unfortunately not for me.