Reda Issa1,2, Stephen A M DeSouza3,4. 1. Associated Retina Consultants, 1750 E. Glendale Ave, Phoenix, AZ, USA. reda.issa@gmail.com. 2. Department of Ophthalmology, University of Arizona College of Medicine Phoenix, Phoenix, AZ, USA. reda.issa@gmail.com. 3. Associated Retina Consultants, 1750 E. Glendale Ave, Phoenix, AZ, USA. 4. Department of Ophthalmology, University of Arizona College of Medicine Phoenix, Phoenix, AZ, USA.
Abstract
BACKGROUND: It has been disputed whether Lyme is a true causative agent in posterior uveitis or an incidental finding. CASE PRESENTATION: This report presents a case of a 33-year-old Caucasian female with a remote history of Lyme disease who presented with blurry vision in the right eye. Exam and imaging revealed a right active chorioretinitis and positive Lyme serology. The patient was systemically treated with prednisone and antibiotics. Symptoms initially improved, but she later developed a localized choriocapillaritis in the left eye. Steroids and antibiotics were restarted many times with fluctuating course of the disease. The patient was then started on chronic steroid-sparing immunosuppression, which has controlled the condition without recurrence. CONCLUSIONS: The current report presents a unique case of recurrent bilateral chorioretinitis with positive Lyme serology and raises the question of the existence of true Lyme-associated uveitis.
BACKGROUND: It has been disputed whether Lyme is a true causative agent in posterior uveitis or an incidental finding. CASE PRESENTATION: This report presents a case of a 33-year-old Caucasian female with a remote history of Lyme disease who presented with blurry vision in the right eye. Exam and imaging revealed a right active chorioretinitis and positive Lyme serology. The patient was systemically treated with prednisone and antibiotics. Symptoms initially improved, but she later developed a localized choriocapillaritis in the left eye. Steroids and antibiotics were restarted many times with fluctuating course of the disease. The patient was then started on chronic steroid-sparing immunosuppression, which has controlled the condition without recurrence. CONCLUSIONS: The current report presents a unique case of recurrent bilateral chorioretinitis with positive Lyme serology and raises the question of the existence of true Lyme-associated uveitis.
Entities:
Keywords:
Case report; Chorioretinitis; Lyme; Retina
Authors: Svetlana V Jovanovic; Nenad T Petrovic; Maja Lj Zivkovic; Zorica G Toncic; Tatjana S Sarenac Vulovic Journal: Int J Ophthalmol Date: 2017-12-18 Impact factor: 1.779