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Editor’s Note: Lyme disease has been reported to cause a variety of ocular disturbances, including temporary loss of vision, blurriness, floaters and peripheral retinal vasculitis (as described here). Fortunately, vision is often restored with proper antimicrobial treatment.
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In this case report we aimed to present a case of Lyme disease presenting as peripheral retinal vasculitis, intermediate uveitis and multifocal white dots in the posterior pole.
The patient exhibited vitritis and snowball opacities in both eyes. A diagnosis of Lyme disease was made based on clinical, angiographic and laboratory findings.
Fundus fluorescein angiography revealed optic nerve and retinal venous leakage as well as multiple hyperfluorescent foci in both eyes.
The patient's symptoms and ocular findings significant improved after treatment with a combination of systemic antibiotics and steroids. Ophthalmologists should bear in mind that conditions presenting with uveitis and multifocal white dots may be related to Lyme disease.
Source: By Kiliç Müftüoglu1, Aydn Akova Y2, Gür Güngör S3. A Case of Lyme Disease Accompanied by Uveitis and White Dot Syndrome. Turk J Ophthalmol. (2016 Oct);46(5):241-243. doi: 10.4274/tjo.25991. Epub 2016 Oct 17.