Robotic thymectomy for ocular myasthenia gravis: a case series from a UK tertiary centre.

ABSTRACT:

Background

Ocular myasthenia gravis (oMG), characterised by ptosis and diplopia, may progress to generalised MG (gMG). Thymectomy is established for seropositive gMG, but its role in oMG remains unclear. Robotic-assisted thoracoscopic surgery (RATS) offers minimally invasive advantages, yet outcomes in oMG are understudied. This case series describes the outcomes of seven patients at University College London Hospitals (UCLH) (2019-2025) undergoing robotic thymectomy for oMG.

Methods

We describe seven oMG patients undergoing robotic thymectomy at UCLH (2019-2025), focusing on improvement in daily life using the MG activities of daily living (MG-ADL) score and medication reduction.

Results

Patients showed significant pyridostigmine reduction (mean decrease: 246 mg) and

SUBMITTER: Roberts T 

PROVIDER: S-EPMC12716504 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature