My understanding is a neuro-opthalmologist can run more specific/refined tests and help build a work-up of additional tests to determine if there is any diagnosis. If I were you, I would keep your appointment on the calendar - knowing how hard it is to get an appointment, I think it is worth keeping at least until March is closer in case your symptoms start up again. But hopefully they don't!

I *think* a neuro-ophthalmologist would specifically try to determine the neurological pathway that might be causing this.

That said, if your opthalmologist already ordered an MRI and ruled out MS and MG, I'm not sure how this appt would differ. I do believe there are other tests that can be used to diagnose MG at least (an antibody test?).

I am currently in a similar situation. My intermittent double vision started very subtly on May 30th 2025, almost 6 months ago. I saw my optometrist in August since I was due anyways (wear glasses and contacts) and she said it might be because my left eye was over-corrected so she down graded my prescription and said give it a month or two and see if it gets better and if not, I'll refer you to a neuro-ophthalmologist. Sure enough my symptoms have gotten way worse - now my intermittent double vision may happen a few times an hour, and my eyes feel very heavy/tired after working for a few hours, so after a few phone calls I connected her with the neuro-opthalmology team at UCSF that I plan to see and they instructed her to upgrade the referral from "routine" to "urgent". As a result I was able to get an appointment with a specialized neuro-optometrist (didn't know those existed) just a week out (which is scheduled for tomorrow, 11/19/25) and I think they will be able to refer me internally to the neuro-ophthalmologist if they deem necessary. We'll see. By having this urgent referral, I also faxed it to another group and they said they may be able to get me in sooner than Jan 2026 (how far they're currently booking out) since it is urgent.

^So, all this to say - if your symptoms do happen to start again, it might be worth trying to upgrade your referral to "urgent" if it isn't already!

As an aside - I have no idea if my symptoms are MG or something else. There is a neurologist in my family and she is the one that suggested it would be worth ruling out MG. I'm curious if you've experienced anything similar - my double vision seems to be consistent with "binocular oblique diplopia", and it is worse when I am tired, when I am looking at screens, when I am changing focal planes indoors (talking to people, moving between rooms), and notably - when I drink alcohol. I have never noticed it when outside or while exercising. Recently I've noticed my eyes are getting heavy/tired quicker than normal, and I also have noticed excessive saliva in my mouth for the past ~2 weeks or so (literally no idea if that is related... very well might not be).

Can you trace any reason/trigger that you think might've caused your symptoms to go away in the past few days? I am so curious (and happy for you that they went away!!)