Hi MGMolly - I am truly sorry that you are dealing with diplopia. I've had it for 2 years as a result of tube shunt surgery for glaucoma - a muscle got cinched somehow. Does yours affect your whole range of vision? Mine is only from chest high down, but plenty enough to disorient me and affect my confidence and independence. I believe the diplopia has had the most profound effect on my over-all well being. I assume yours is a result of the MG, and as you mentioned, it is better or worse depending upon how the MG is doing. Well, it is an untenable situation, and I can share some of what you are going through. My prayers and thoughts are going to you for some relief or improvement, or at least some peace. I hope today is a good day! Sue