Scott I U, Silva-Lepe A, Siatkowski R M
Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, USA.
Am J Ophthalmol. 1997 Jan;123(1):136-8. doi: 10.1016/s0002-9394(14)71011-6.
To report Lyme disease as the cause of chiasmal optic neuritis in a 10-year-old girl.
The patient underwent ophthalmologic, laboratory, and imaging examinations.
The patient's history and clinical course were consistent with Lyme disease. Laboratory studies disclosed increased serum Lyme immunoglobulin G titer, which improved after antibiotic treatment.
Lyme disease should be considered in the differential diagnosis of chiasmal optic neuritis.