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Bilateral keratitis in Lyme disease.

E W Kornmehl1, R L Lesser, P Jaros

  • 1Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven.

Ophthalmology
|August 1, 1989
PubMed
Summary

Lyme disease can affect the eyes, causing keratitis with stromal opacities. Observation and antibiotics may suffice for visual recovery in asymptomatic cases without visual axis involvement.

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Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Microbiology

Background:

  • Lyme disease, a tick-borne illness caused by Borrelia burgdorferi, presents with diverse clinical manifestations.
  • Ophthalmic involvement in Lyme disease, particularly Lyme keratitis, requires careful diagnosis and management.

Observation:

  • Two cases of Lyme keratitis are presented, detailing the characteristic presentation.
  • The keratitis featured multiple, focal, nebular opacities within the corneal stroma at various depths.

Findings:

  • These stromal opacities demonstrated potential for progression, including edema, neovascularization, and scarring.
  • The study highlights the specific morphological characteristics of Lyme keratitis.

Implications:

  • For asymptomatic patients without visual axis involvement, close monitoring alongside systemic antibiotic treatment may be adequate.
  • This suggests a conservative management approach is possible in select cases of Lyme keratitis.
  • Early recognition of these specific ophthalmic signs is crucial for appropriate patient care.

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