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Intermediate uveitis and Lyme borreliosis
J Breeveld1, A Rothova, H Kuiper
1Department of Ophthalmology, Academic Medical Centre, Amsterdam, The Netherlands.
The British Journal of Ophthalmology
|March 1, 1992
Summary
Chronic intermediate uveitis, a form of pars planitis, can be caused by Lyme borreliosis. Prompt treatment with intravenous ceftriaxone improved vision in a long-standing case, highlighting the need for specific diagnoses.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Rheumatology
Background:
- Intermediate uveitis, including pars planitis, is an intraocular inflammatory condition.
- Cystoid macular edema (CME) is a common complication that can lead to vision loss.
- Lyme borreliosis is a tick-borne illness with diverse systemic manifestations, including ocular involvement.
Observation:
- A patient presented with chronic intermediate uveitis and classic snowbanking (pars planitis).
- Severe cystoid macular edema was noted, suspected to be caused by Lyme borreliosis.
- The patient had a 10-year history of ocular symptoms.
Findings:
- Ocular symptoms and visual acuity significantly improved following intravenous ceftriaxone treatment.
- The patient's condition responded promptly despite the long disease duration.
- Diagnosis of Lyme borreliosis was likely confirmed as the underlying cause.
Implications:
- Periodic reevaluation of intermediate uveitis patients is crucial for accurate diagnosis.
- Lyme borreliosis should be considered in the differential diagnosis of intermediate uveitis.
- Early and specific diagnosis can lead to effective treatment and improved visual outcomes.