title: Ocular disease in Caribbean patients with serologic evidence of Lyme borreliosis.
abstract: Four patients from Caribbean and Central American countries with ocular disease and serologic evidence of Lyme borreliosis are discussed. To our knowledge this is the first report of Lyme disease from this geographic area. Two patients exhibited ocular inflammatory disease, and two patients developed optic neuropathy. A brief discussion of Lyme borreliosis, its serologic diagnosis, and its treatment is presented.
authors.affiliation: Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Florida 33101.
authors.forename: K E
authors.initials: KE
authors.lastname: Winward
authors.forename: J L
authors.initials: JL
authors.lastname: Smith
mesh_terms: D000328:Adult; D000368:Aged; D001899:Borrelia Infections; D002443:Ceftriaxone / Q000627:therapeutic use; D002648:Child; D009877:Endophthalmitis / Q000150:complications; D005128:Eye Diseases / Q000150:complications*; D006801:Humans; D007429:Intraocular Pressure; D008193:Lyme Disease / Q000150:complications* / Q000188:drug therapy / Q000276:immunology; D008297:Male; D008875:Middle Aged; D009901:Optic Nerve Diseases / Q000150:complications; D010406:Penicillins / Q000627:therapeutic use; D013752:Tetracycline / Q000627:therapeutic use; D014792:Visual Acuity; D014900:West Indies
chemical_list: D010406:Penicillins; D002443:Ceftriaxone; D013752:Tetracycline