Isolated bilateral optic neuritis revealing a Lyme Disease : case report

Isolated bilateral optic neuritis revealing a Lyme Disease : case report

Authors

  • MIRAY LOUIS DE GONZAGUE OPHTALMOLOGY SERVICE UNIVERSITARY HOSPITAL TAMBOHOBE FIANARANTSOA FIANARANTSOA

DOI:

https://doi.org/10.14738/assrj.73.7672

Keywords:

: Bilateral, children, isolated, Lyme Disease, Optic Neuritis.

Abstract

Optic neuritis (ON) is an inflammation of the optic nerve and one of the most common manifestations of central nervous system involvement caused by various etiologies. Lyme optic neuritis  is a rare ocular manifestation of Lyme Disease. We report a case of a 13-year-old male patient, previously healthy, with decreased central visual acuity on his both eyes . On examination, best-corrected visual acuity on both eyes was 0,3 LogMar. Anterior segment biomicroscopy showed no inflammatory signs and the intraocular pressure was normal. A fundus examination performed under mydriasis revealed a swollen optic disk on both eyes confirmed by fluorescein angiography. The cerebrospinal fluid examination and Lyme Disease blood findings were positive. The diagnosis of Lyme disease-related optic neuritis was made. Treated with Ceftriaxone and Doxicycline, there was a vision recovery. We can state that isolated bilateral optic neuritis is uncommon and exceptional especially in children during Lyme disease.

References

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Published

2020-03-17

How to Cite

LOUIS DE GONZAGUE, M. (2020). Isolated bilateral optic neuritis revealing a Lyme Disease : case report: Isolated bilateral optic neuritis revealing a Lyme Disease : case report. Advances in Social Sciences Research Journal, 7(3), 145–149. https://doi.org/10.14738/assrj.73.7672

Issue

Vol. 7 No. 3 (2020): Advances in Social Sciences Research Journal

Section

Articles

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