Lyme disease associated neuroretinitis — Case report

Vanya, Melinda; Fejes, Imola; Jakó, Mária; Tula, Areta; Terhes, Gabriella; Janáky, Márta; Bártfai, György

doi:10.1556/030.62.2015.4.5

Cited by 5 publications

(3 citation statements)

References 5 publications

(8 reference statements)

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“…Babu and Murthy[8] and Vanya et al . [9] have reported resolution of neuroretinitis with a combination of doxycycline and corticosteroids. Treatment with prednisone and doxycycline resolved neuroretinitis in our case.…”

Section: Discussionmentioning

confidence: 99%

Neuroretinitis as presenting and the only presentation of Lyme disease: Diagnosis and management

Guliani

Kumar

Chawla

et al. 2017

Indian J Ophthalmol

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We present a case of neuroretinitis as presenting and the only presentation of Lyme disease in a 25-year-old female who visited hilly areas in the Himalayas of North India. She presented with right eye sudden and painless blurring of vision. Her vision at presentation was 20/60. She had fundus examination; fundus fluorescein angiography (FFA) and optical coherence tomography (OCT) imaging showed classical features of neuroretinitis. No other organ was involved. Oral steroids were prescribed and relevant investigations sent for noninfective and infective causes. Worsened visual acuity (VA) to hand movement and positive IgM titers for Borrelia burgdorferi led to the diagnosis of Lyme disease-associated neuroretinitis. Treatment with oral doxycycline plus oral steroids for 4 weeks revealed VA of 20/20 and resolution of fundus and OCT changes. Neuroretinitis as presenting and the only presentation of Lyme disease will be discussed with serial fundus, FFA, and OCT pictures.

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Section: Discussionmentioning

confidence: 99%

Neuroretinitis as presenting and the only presentation of Lyme disease: Diagnosis and management

Guliani

Kumar

Chawla

et al. 2017

Indian J Ophthalmol

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“…Neuroretinitis [73,[117][118][119][120] including interdigitation zone loss [121], has been described in patients with positive Lyme serologies. Complications of neuroretinitis include development of full thickness macular holes and peripapillary retinal pigment epithelium detachments precipitated by optic nerve inflammation and secondary macular oedema [122,123].…”

Section: Neuro-ophthalmic Manifestations and Neuroretinitismentioning

confidence: 99%

Revenge of the Tick: Tick-Borne Diseases and the Eye in the Age of Climate Change and Globalisation

Lau

Chan

et al. 2022

Zoonotic Diseases

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Climate change has contributed to changes in disease transmission. In particular, zoonoses such as tick-borne diseases are occurring in areas previously unsuitable for tick survival, with spread to non-endemic areas rising. Ophthalmic manifestations of tick-borne diseases are rare. Often overlooked, diagnosis requires awareness and a high level of suspicion, which may delay treatment. This review provides a comprehensive overview of ocular disease associated with ticks so that management protocols for patients can be designed and implemented. A narrative literature review was conducted. The current literature includes case series, case reports, and literature reviews. Ocular manifestations of tick-borne diseases include adnexal manifestations, conjunctivitis, keratitis, cranial nerve palsies, optic nerve disease, uveitis, exudative retinal detachment, and panophthalmitis, which may occur in isolation or as part of a systemic process. As there is no one constellation of ocular symptoms and signs diagnostic of tick-borne eye diseases, a systematic approach is recommended with particular attention to significant travel and exposure history. In this review, we identify significant risk factors and propose management strategies for afflicted patients to improve treatment outcomes while maintaining cost-effectiveness. Ophthalmologists and generalists will benefit from increased awareness of ocular manifestations of tick-borne diseases in the age of modern travel and climate change.

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“…The most frequent clinical symptoms observed are headaches (71%), vertigo (44%), meningeal symptoms (22%), and neurological paresis (27%) (including facial palsy, 23%). However, neuroretinitis has also recently been described in patients with Lyme disease [ 46 ].…”

Section: Systemic Disorders and The Eyementioning

confidence: 99%

Eclectic Ocular Comorbidities and Systemic Diseases with Eye Involvement: A Review

Pinazo-Durán

Zanón‐Moreno

García-Medina

et al. 2016

BioMed Research International

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Coexistence of several ocular diseases is more frequent than suspected. In spite of the refractive errors, one or more of the following can be detected simultaneously: glaucoma, cataracts, uveitis, age-related macular degeneration, and dry eyes. In addition, as people age, ocular comorbidities are much more usually seen. Specific diseases are openly acknowledged to affect the eyes and vision, such as diabetes mellitus, hypertension blood pressure, arthritis, hyperthyroidism, neurodegenerative disorders, hematologic malignancies, and/or systemic infections. Recent advances in early diagnosis and therapy of the ophthalmic pathologies have reinforced patient options to prevent visual impairment and blindness. Because of this, it is essential not to overlook sight-threatening conditions such as the ocular comorbidities and/or the eye involvement in the context of systemic disorders. Moreover, the important role of the multidisciplinary cooperation to improve and sustain management of patients affected with eclectic ocular comorbidities and/or systemic disorders with eye repercussion is specifically addressed. This review intends to shed light on these topics to help in making opportune diagnosis and appropriately managing the affected patients.

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Lyme disease associated neuroretinitis — Case report

Cited by 5 publications

References 5 publications

Neuroretinitis as presenting and the only presentation of Lyme disease: Diagnosis and management

Neuroretinitis as presenting and the only presentation of Lyme disease: Diagnosis and management

Revenge of the Tick: Tick-Borne Diseases and the Eye in the Age of Climate Change and Globalisation

Eclectic Ocular Comorbidities and Systemic Diseases with Eye Involvement: A Review

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