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[Optic neuropathy and Lyme disease].

A B Safran1, D Lew

  • 1Clinique d'Ophtalmologie, Hôpital Cantonal Universitaire, Genève, Suisse.

Bulletin De La Societe Belge D'Ophtalmologie
|January 1, 1990
PubMed
Summary

Lyme disease can cause acquired optic nerve disorders and should be considered in diagnoses. This review covers its varied symptoms, diagnostic signs, and treatment options for Lyme disease.

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Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Neurology

Context:

  • Acquired optic nerve disorders present a diagnostic challenge.
  • Lyme disease is a multisystemic infection with protean manifestations.
  • Optic neuropathy is a potential neurological complication of Lyme disease.

Purpose:

  • To highlight the importance of including Lyme disease in the differential diagnosis of acquired optic nerve disorders.
  • To review the diverse clinical presentations of Lyme disease relevant to ophthalmology.
  • To discuss diagnostic strategies and treatment modalities for Lyme disease affecting the optic nerve.

Summary:

  • Lyme disease, caused by the bacterium Borrelia burgdorferi, can manifest with optic nerve involvement.
  • Clinical signs can be varied, mimicking other optic neuropathies, necessitating a high index of suspicion.
  • Early diagnosis and appropriate antibiotic treatment are crucial for managing Lyme-related optic nerve dysfunction.

Impact:

  • Clinicians should consider Lyme disease in patients presenting with unexplained optic nerve disorders.
  • Improved recognition can lead to earlier diagnosis and treatment, potentially preventing irreversible vision loss.
  • This review aids in understanding the neuro-ophthalmic implications of Lyme disease.

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