Oculomotor myasthenia gravis does not usually recover on its own. The first symptoms of oculomuscular myasthenia gravis are often ptosis and diplopia, which are mild in the morning and then progressively worsen, a phenomenon known as morning sickness and evening sickness, which becomes more pronounced when fatigue sets in, and ptosis is aggravated by sustained upward gaze, and diplopia can be aggravated by continuous eye movement. Oculomotor myasthenia gravis is tested with neostigmine or tensilon, and symptoms can be significantly relieved. Oral acetylcholinesterase inhibitors or even systemic hormonal therapy is required.