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» LymeNet Flash » Questions and Discussion » Medical Questions » Vision Problems

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Author Topic: Vision Problems
LMC3495
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Member # 12879

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I was recently diagnosed with early stage cataracts in both eyes. I am only 36 years old. Does Lyme attack the eyes???

Lisa

Posts: 22 | From Texas | Registered: Aug 2007  |  IP: Logged | Report this post to a Moderator
CaliforniaLyme
Frequent Contributor (5K+ posts)
Member # 7136

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Yes, it does. Sorry to read that-
************************************
Retinal vasculitis in Lyme borreliosis.
Leys AM, Sch�nherr U, Lang GE, Naumann GO, Goubau P, Honore A,
Valvekens F
Bull Soc Belge Ophtalmol 1995 259 205-14


Abstract
We observed retinal vasculitis in seven patients with clinical and serologic evidence of Borrelia burgdorferi infection.

Three patients presented with abrupt loss of
vision due to acute retinal vasculitis.

Funduscopy demonstrated engorged veins, hemorrhages, perivenous infiltrates and retinal white spots. Fluorescein angiography showed leakage from the veins, from the white spots and from the optic disc. Moreover arterial
occlusions were observed in two patients. Four patients had signs of chronic uveitis with vitritis, cystoid macular oedema and retinal vasculitis, which was associated with neovascularization and vitreous hemorrhage in
one patient, and with optic neuritis in another
patient.

Six patients received antibiotic treatment and three patients received systemic corticosteroids.

Marked improvement in the three acute retinal vasculitis cases occurred within several weeks, the fundus changes disappeared in another few months, and no recurrences were observed. The final visual acuity was excellent in these patients, although optic disc pallor and
visual field loss persisted in one case. In the four patients with chronic uveitis visual blurring improved following antibiotic treatment and the retinal vasculitis and vitritis slowly regressed. The proliferative retinopathy of one patient required panretinal laser treatment.

--------------------
There is no wealth but life.
-John Ruskin

All truth goes through 3 stages: first it is ridiculed: then it is violently opposed: finally it is accepted as self evident. - Schopenhauer

Posts: 5639 | From Aptos CA USA | Registered: Apr 2005  |  IP: Logged | Report this post to a Moderator
CaliforniaLyme
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just re systemic illness & eye disease
****************************************

1: Eur J Ophthalmol. 1994 Oct-Dec;4(4):223-7

Intermediate uveitis: what is the natural course of the disease and its relationship with other systemic diseases?

Palimeris G, Marcomichelakis N, Konstantinidou V, Trakaniari AN.
Athens University Eye Clinic, General Hospital of Athens, Greece.

This study examined the natural course of intermediate uveitis, to find a possible correlation with systemic diseases and to identify the ocular complications. Patients were classified according to follow-up time in three groups: A (1-5 years) 12 pts, B (6-10 years) 10 pts, C (11-15 years or more) 6 pts for a total of 28 patients (52 eyes). We studied the recurrences, the complications of the disease and the overall prognosis. Eight patients were found to be suffering from systemic diseases: sarcoidosis 2, Adamantiades-Behcet 2, multiple sclerosis 3 and Lyme disease 1. Cataract was found in 21 eyes (40.5%) and macular changes in 20 eyes (38.4%) but chronic cystoid macular edema persisted in only six cases (12.5%). Group C presented more complications than group B. Group A had the fewest. The frequency of recurrences was 1-5 for group A. 1-3 for group B and 1-2 for group C. Four patients received no therapy, 15 received steroids and nine received cyclosporine and steroids. In this series intermediate uveitis was bilateral in 85.8% of patients and related with systemic diseases in 28.5%. Recurrences appeared mainly during the first five years. The longer the presence of the disease the more frequent were complications and the final visual acuity depended mostly on the severity of the initial attack and the number of exacerbations.

PMID: 7711475

--------------------
There is no wealth but life.
-John Ruskin

All truth goes through 3 stages: first it is ridiculed: then it is violently opposed: finally it is accepted as self evident. - Schopenhauer

Posts: 5639 | From Aptos CA USA | Registered: Apr 2005  |  IP: Logged | Report this post to a Moderator
CaliforniaLyme
Frequent Contributor (5K+ posts)
Member # 7136

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We had a guy going blind in our group- his uveitis completely disappeared with ongoing Doxy tx- Lyme is mentioned here as cause of inflammation in eye-
***********************************************
1: Ocul Immunol Inflamm. 1997 Mar;5(1):67-8.Links

Chronic Propionibacterium acnes endophthalmitis as a cause of intermediate uveitis.

Ormerod LD, Puklin JE, Giles CL.
Department of Ophthalmology, Kresge Eye Institute, Wayne State University, Detroit, MI, USA.

Although the pathogenesis in most cases of intermediate uveitis is unknown, a small minority of cases is associated with a variety of specific inflammatory etiologies: sarcoidosis; multiple sclerosis; Lyme disease; syphilis; ocular lymphoma; and as a rare manifestation of Beh�et's disease and AIDS. A 61-year-old woman developed pars planitis after cataract surgery. A vitrectomy was performed after ten months when a white capsular plaque and an hypopyon developed. Propionibacterium acnes was isolated. The intermediate uveitis was not controlled until later removal of the intraocular lens and capsular remnants. Chronic propionibacterial endophthalmitis may be a cause of intermediate uveitis.

PMID: 9145695

--------------------
There is no wealth but life.
-John Ruskin

All truth goes through 3 stages: first it is ridiculed: then it is violently opposed: finally it is accepted as self evident. - Schopenhauer

Posts: 5639 | From Aptos CA USA | Registered: Apr 2005  |  IP: Logged | Report this post to a Moderator
   

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