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J Thorac Cardiovasc Surg 2003;125:740-741
© 2003 The American Association for Thoracic Surgery

Letters to the Editor

Thymectomy in ocular myasthenia gravis

Division of Thoracic Surgery, Cardiac and Thoracic Department^a, Division of Neurology, Department of Neurosciences^b, University of Pisa, Pisa, Italy

The first 20% of the full text of this article appears below.

To the Editor:

We read with interest the recent article by Roberts and associates ¹ on thymectomy in the treatment of ocular myasthenia gravis (OMG). It represents an important step in the debate concerning this issue and in the consideration of OMG as part of a broad-spectrum disease and not as a distinct disease.

What we know from the literature is that the disease will progress in about 50% of patients with initial OMG. ² On the other hand, thymectomy is considered a mainstay therapy for generalized myasthenia gravis (GMG), and the best outcome is expected in patients operated on early after the . . . [Full Text of this Article]