I'm taking Pyridostigmine its helping open the eye , but I still have some double vision , not as much as I had when I first was diagnosed in 2024, it effects my right eye and on that eye I also have a wrinkle on my retina membrane that makes my vision blurry plus I have macular degeneration so a eye patch doesn't work for me I can't switch eyes because my vision is distorted, so I got prisoms that work great , I still have to rest my eyes if I use them a lot because they are very dry Neurologist want to try me on prednisone but my pcp told me to avoid it if I could because I have copd and when I have a flare up prednisone short term is what they use to treat it she said the more I take the larger dose I' all need and it has some pretty bad long term side effects.