Lyme Borrelia as the etiological factor in three cases of primary inflammatory choriocapillaropathies

Jovanović, Svetlana; Petrović, Nenad; Zivkovic, Maja; Tončić, Zorica; Sarenac-Vulovic, Tatjana

doi:10.18240/ijo.2017.12.26

Cited by 1 publication

(1 citation statement)

References 16 publications

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“…Evidence of our patient’s hypofluorescence and hypoperfusion in the outer retinal layers of the left eye on fluorescein angiography and OCT angiography, respectively, consistent with localized choriocapillaritis, was also demonstrated in a report of three patients with a primary inflammatory choriocapillaropathy due to Lyme Borrelia [ 14 ]. This has been posited as being the result of immune complex deposition, in response to disseminated spirochetes, at the level of the choriocapillaris, possibly similar to what occurs in acute syphilitic posterior placoid choroiditis [ 12 ].…”

Section: Discussionsupporting

confidence: 69%

Recurrent bilateral chorioretinitis with positive Lyme serology: a case report

Issa

DeSouza

2021

J Med Case Reports

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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.

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Section: Discussionsupporting

confidence: 69%