[Eye manifestations in borreliosis--bilateral panuveitis with exudative retinal detachment]

Lyme disease, a tick-borne infection with the spirochete Borrelia burgdorferi, can lead to various different organ manifestations. Severe ocular effects however, have until now been rare. The case of a 20-year-old woman is reported, who developed systemic illness (headache, nausea, vomiting, fever, diarrhea) and severe bilateral panuveitis with exudative retinal detachment about 2-3 weeks after several insect bites. The case history, clinical course, and serological examinations suggest an infection with B. burgdorferi. Later on, the fluorescein angiography results and clinical picture were suggestive of acute posterior multifocal placoid pigment epitheliopathy (APMPPE). The etiology of this disease is unknown so far, but it may be possible that infections with B. burgdorferi are of etiological significance.