title: [Unusual case of bilateral optic neuritis in Lyme neuroborreliosis].
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.
authors.affiliation: Service d'Ophtalmologie, l'Hôpital d'Instruction des Armées Laveran, Marseille, France.
authors.forename: C
authors.initials: C
authors.lastname: Bouat
authors.forename: F
authors.initials: F
authors.lastname: Meyer
authors.forename: S
authors.initials: S
authors.lastname: Rosier
authors.forename: J P
authors.initials: JP
authors.lastname: Boitte
authors.forename: R
authors.initials: R
authors.lastname: Lawani
authors.forename: M
authors.initials: M
authors.lastname: Bregigeon
mesh_terms: D000328:Adult; D006801:Humans; D020852:Lyme Neuroborreliosis / Q000175:diagnosis*; D008297:Male; D009902:Optic Neuritis / Q000175:diagnosis* / Q000382:microbiology*