Cytologically proven seronegative Lyme choroiditis and vitritis.
OBJECTIVE
To report on a vitreous specimen in a 53-year-old patient with unilateral choroiditis and vitritis of unknown cause.


METHODS
Cytologic examination of a vitreous aspirate stained by the Papanicolaou method.


RESULTS
Intravitreal spirochetes consistent with Borrelia burgdorferi were found in this seronegative patient.


CONCLUSIONS
Vitreous specimens of patients with choroiditis and vitritis of unknown cause should be examined cytologically, particularly when serologic results do not corroborate the clinical findings of Lyme disease.
Edward S. Harkness Eye Institute, New York, New York.
H D
HD
Schubert
E
E
Greenebaum
H C
HC
Neu
D000907:Antibodies, Bacterial / Q000032:analysis; D015748:Borrelia burgdorferi Group / Q000276:immunology / Q000302:isolation & purification; D002833:Choroiditis / Q000175:diagnosis* / Q000382:microbiology; D004797:Enzyme-Linked Immunosorbent Assay; D015818:Eye Infections, Bacterial / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007074:Immunoglobulin G / Q000032:analysis; D008193:Lyme Disease / Q000175:diagnosis*; D008875:Middle Aged; D014792:Visual Acuity; D014822:Vitreous Body / Q000382:microbiology*
D000907:Antibodies, Bacterial; D007074:Immunoglobulin G