Schönherr U, Lang G E, Meythaler F H
Augenklinik mit Poliklinik der Universität Erlangen-Nürnberg.
Klin Monbl Augenheilkd. 1991 Jan;198(1):44-7. doi: 10.1055/s-2008-1045927.
We report on a 22-year-old white female with bilateral Leber's stellate neuroretinitis occurring 5 weeks after a viral-like illness. Serological tests revealed a seroconversion for Borrelia burgdorferi indicating an etiological connection. During therapy with 200 mg doxycycline daily for 2 weeks on systemically steroids the optic disc swelling and macular star figure resolved. Visual acuity improved from 0.4 to 1.0 in this time period. It is important that the ophthalmologist should consider Lyme-Borreliosis in isolated neuroretinitis, because the prognosis depends on the time when treatment is initiated.
我们报告了一名22岁的白人女性，在患类似病毒感染疾病5周后发生双侧莱伯星状神经视网膜炎。血清学检测显示伯氏疏螺旋体血清转化，表明存在病因学关联。在全身使用类固醇的同时，每天服用200毫克强力霉素进行治疗2周，视盘水肿和黄斑星芒状体征消退。在此期间，视力从0.4提高到了1.0。眼科医生在孤立性神经视网膜炎中应考虑莱姆病，这一点很重要，因为预后取决于开始治疗的时间。
