Myasthenia gravis (MG) weakens and fatigues the body’s voluntary muscles (those we can move at will). It doesn’t damage the musculature of the heart or the gastrointestinal tract.
Early in its course, MG tends to affect the muscles that control movement of the eyes and eyelids, causing ocular weakness. Consequently, a partial paralysis of eye movements (ophthalmoparesis), double vision (diplopia) and droopy eyelids (ptosis) are usually among the first symptoms of MG.