We report a 7-year-old male who presented with a two-year history of drooping of both eyelids. Examination revealed bilateral ptosis (with the left eye being more severely affected than the right eye) and bilateral ophthalmoplegia. A diagnosis of Juvenile Myasthenia gravis with ophthalmoplegia was made when symptoms improved with intramuscular Neostigmine administration. He was commenced on oral Neostigmine at a dose of 0.04mg/Kg 6 hourly and is on regular follow up and had a good response.