title: Paralytic strabismus as a manifestation of lyme borreliosis.
abstract: Lyme disease is a multi-system organ disorder caused by Borrelia burgdorferi. Although ocular manifestations have been reported, these remain a rare feature of the disease. This report shows a 49-years old patient that has been bitten by a tick and as consequence of which developed symptoms of the Lyme disease. In 1998 the patient was hospitalized in our Eye Clinic due to operating treatment of the paralytic strabismus (abductal nerve paralysis), as a rare feature of the Lyme disease. Postoperative squint angle was significantly reduced, but without any temporal movement. Diplopia was still present, though slightly reduced with the use of prism eyeglasses. The improvement of the quality of life was achieved, as well as the patient's satisfaction.
authors.affiliation: University Department of Ophthalmology, Clinical Hospital, Systers of Mercy, Zagreb, Croatia. ozrinscak@yahoo.co.uk
authors.forename: Ognjen
authors.initials: O
authors.lastname: Zrinsćak
authors.forename: Sanja
authors.initials: S
authors.lastname: Masnec-Paskvalin
authors.forename: Maja
authors.initials: M
authors.lastname: Corak
authors.forename: Biserka
authors.initials: B
authors.lastname: Baćani
authors.forename: Zdravko
authors.initials: Z
authors.lastname: Mandić
mesh_terms: D025065:Borrelia burgdorferi; D005260:Female; D006801:Humans; D020852:Lyme Neuroborreliosis / Q000150:complications* / Q000175:diagnosis; D008875:Middle Aged; D009886:Ophthalmoplegia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013285:Strabismus / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy