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