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Several retrospective studies have identified risk factors associated with generalization, however these studies included patients on immunosuppression therapy or those undergoing thymectomy, which may reduce the generalization risk. fondling boobs Purpose: To evaluate the associated factors of conversion of ocular myasthenia gravis (OMG) to generalized myasthenia gravis (GMG) among patients with seropositive acetylcholine receptor antibody (AchR Ab). Design: Retrospective cohort study. Methods: Setting: Retrospective chart review. Patient: Seventy-one OMG patients with seropositive AchR Ab presented during July 2009 and December 2016.At presentation, more than half of patients with myasthenia gravis (MG) harbor the form of the condition known as ocular MG (OMG), characterized by double vision, ptosis, or both. When ptosis is present, the diagnosis is suggested by the Cogan lid twitch, fatigability of the eyelid with sustained upgaze, and recovery with the icepack test or rest. 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