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Ocular Lyme borreliosis.

K E Winward1, J L Smith, W W Culbertson

  • 1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Florida 33101.

American Journal of Ophthalmology
|December 15, 1989
PubMed
Summary

Ocular Lyme borreliosis can present with severe eye inflammation, including iridocyclitis and vitritis. Early oral antibiotics and later intravenous therapy are recommended for this condition.

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Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Neurology

Background:

  • Ocular Lyme borreliosis is a rare manifestation of Borrelia burgdorferi infection.
  • It can mimic other inflammatory eye conditions, leading to diagnostic challenges.

Observation:

  • Six patients with ocular Lyme borreliosis were studied.
  • Five presented with bilateral granulomatous iridocyclitis and vitritis.
  • One patient also had bilateral optic neuritis, and another developed cranial nerve palsies.

Findings:

  • Atypical features like granulomatous keratic precipitates and posterior synechiae suggest Lyme borreliosis.
  • Topical corticosteroids are crucial for anterior segment inflammation.
  • The efficacy of systemic/periocular corticosteroids remains uncertain.

Implications:

  • Prompt recognition of Lyme borreliosis is vital for patients presenting with pars planitis-like syndromes.
  • Treatment strategies vary based on the stage of ocular Lyme borreliosis.
  • Early oral antibiotics and later IV antibiotics are key therapeutic interventions.

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