Lyme borreliosis is a tick-borne spirochetal illness that may involve numerous organs. Multiple ocular manifestations of Lyme disease have been reported, including anterior uveitis, vitritis, episcleritis, conjunctivitis, keratitis, choroiditis, and exudative retinal detachment.1 Several neuro-ophthalmologic complications have also been recognized.1 We recently treated a patient with a branch retinal artery occlusion and positive results of serologic tests to detect Lyme disease who responded well to antibiotic therapy. To our knowledge, this is a new ocular manifestation of Lyme disease.
Report of a Case.
—A 37-year-old white woman awoke with a scotoma above fixation in her left eye. For the previous several months, she had generalized arthralgias and fatigue. Two months before presentation, she developed floaters in both eyes as well as daily, throbbing headaches. She was not pregnant and took no medications or birth control pills. There was no known history of a tick bite or skin rash.
Lightman DA, Brod RD. Branch Retinal Artery Occlusion Associated With Lyme Disease. Arch Ophthalmol. 1991;109(9):1198-1199. doi:10.1001/archopht.1991.01080090022011