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Unusual case of bilateral optic neuritis in Lyme neuroborreliosis.

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By Bouat C, Meyer F, Rosier S, Boitte JP, Lawani R, Bregigeon M • www.ProHealth.com • January 1, 1995


Abstract

The most common manifestations of Lyme disease are neurologic and rheumatologic, but ophthalmologic lesions can also occur and may even be dominant. The authors describe a case of bilateral optic neuropathy associated with Lyme borreliosis that quickly led to near-total blindness. In addition to a loss in visual acuity and field bilateral papillary edema was documented by angiofluorography. A spectacular improvement was obtained under combined antimicrobial therapy using doxycycline and corticosteroid therapy. The patient rapidly recovered full vision. These observations are discussed within the context of Lyme disease with a review of other relevant ophthalmologic complications. The importance of careful interpretation of serology is emphasized.

Med Trop (Mars). 1995;55(4 Pt 2):462-5. Case Reports; English Abstract





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