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 l...

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Bibliographic Details
Published inMédecine tropicale Vol. 55; no. 4 Pt 2; p. 462
Main Authors Bouat, C, Meyer, F, Rosier, S, Boitte, J P, Lawani, R, Bregigeon, M
Format Magazine Article
LanguageFrench
Published France 1995
Subjects
Adult
Humans
Lyme Neuroborreliosis - diagnosis
Male
Optic Neuritis - diagnosis
Optic Neuritis - microbiology
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Summary: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.
ISSN:0025-682X