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Return of diplopia

When I was diagnosed 10 years ago, my initial symptom was first "scrambled" vision then double. It cleared very quickly (2-3 days) during my 5 day hospital stay. I've been on Mestinon since and added cellcept a year ago. My double vision returned three weeks ago and adjustment of med dosages have not worked. My question is has anyone gone this long with no visual issues then out of nowhere they're back?

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