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These guidelines are designed to provide advice about best clinical practice based on the current state of clinical and scientific knowledge and the consensus of an expert panel.<\/jats:p><\/jats:sec><jats:sec><jats:title>Search strategy<\/jats:title><jats:p>Evidence for these guidelines was collected by searches in the <jats:styled-content style=\"fixed-case\">MEDLINE<\/jats:styled-content> and Cochrane databases. The task force working group reviewed evidence from original articles and systematic reviews. The evidence was classified (I, <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> III<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> IV<\/jats:styled-content>) and consensus recommendation graded (A, B or C) according to the <jats:styled-content style=\"fixed-case\">EFNS<\/jats:styled-content> guidance. Where there was a lack of evidence but clear consensus, good practice points are provided.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The treatment of ocular myasthenia should initially be started with pyridostigmine (good practice point). If this is not successful in relieving symptoms, oral corticosteroids should be used on an alternate\u2010day regimen (recommendation level C). If steroid treatment does not result in good control of the symptoms or if it is necessary to use high steroid doses, steroid\u2010sparing treatment with azathioprine should be started (recommendation level C). If ocular myasthenia gravis is associated with thymoma, thymectomy is indicated. Otherwise, the role of thymectomy in ocular myasthenia is controversial. Steroids and thymectomy may modify the course of ocular myasthenia and prevent myasthenia gravis generalization (good practice point).<\/jats:p><\/jats:sec>","DOI":"10.1111\/ene.12359","type":"journal-article","created":{"date-parts":[[2014,1,28]],"date-time":"2014-01-28T12:41:39Z","timestamp":1390912899000},"page":"687-693","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":165,"title":["<scp>EFNS<\/scp>\/<scp>ENS<\/scp> Guidelines for the treatment of ocular myasthenia"],"prefix":"10.1111","volume":"21","author":[{"given":"E.","family":"Kerty","sequence":"first","affiliation":[{"name":"Department of Neurology Oslo University Hospital Oslo Norway"},{"name":"Faculty of Medicine University of Oslo Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Elsais","sequence":"additional","affiliation":[{"name":"Department of Neurology Oslo University Hospital Oslo Norway"},{"name":"Faculty of Medicine University of Oslo Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Z.","family":"Argov","sequence":"additional","affiliation":[{"name":"Department of Neurology Hadassah\u2010Hebrew University Medical Center Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Evoli","sequence":"additional","affiliation":[{"name":"Institute of Neurology Catholic University Roma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N. 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