ALLEN C. STEERE, M.D.; PAUL H. DURAY, M.D.; DANNY J. H. KAUFFMANN, M.D.; GARY P. WORMSER, M.D.
Lyme disease, a tick-borne spirochetal infection (1), often begins with a characteristic skin lesion, erythema chronicum migrans, which may be followed by neurologic, cardiac, or joint abnormalities (2, 3). Conjunctivitis may occur early in the illness (3), but other ophthalmologic manifestations have not been reported. We report the case of a patient who, 4 weeks after the onset of erythema chronicum migrans, developed unilateral iritis followed by panophthalmitis. Spirochetes were found in specimens of vitreous debris obtained at surgery.
On 15 July 1982, a 45-year-old woman from Westchester County, New York, developed severe headache, light-headedness, chills, fever, nausea, and vomiting
STEERE AC, DURAY PH, KAUFFMANN DJH, WORMSER GP. Unilateral Blindness Caused by Infection with the Lyme Disease Spirochete, Borrelia burgdorferi. Ann Intern Med. ;103:382–384. doi: 10.7326/0003-4819-103-3-382
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Published: Ann Intern Med. 1985;103(3):382-384.
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