TAILIEUCHUNG - Báo cáo y học: "Ocular manifestations of Lyme borreliosis in Europe"

Tuyển tập các báo cáo nghiên cứu khoa học ngành y học tạp chí Medical Sciences dành cho các bạn sinh viên ngành y tham khảo đề tài: Ocular manifestations of Lyme borreliosis in Europe. | Int. J. Med. Sci. 2009 6 124 International Journal of Medical Sciences 2009 6 3 124-125 Ivyspring International Publisher. All rights reserved Short Communication Ocular manifestations of Lyme borreliosis in Europe Paolo Mora Arturo Carta Institute of Ophthalmology University of Parma - Parma Italy Published Ocular involvement in Lyme borreliosis even though possible in every stage of the disease is most frequently seen in the late phases 2nd and 3rd . In a German series of children affected by Lyme arthritis 4 also had ocular inflammation consisting of keratitis or uveitis. 1 In a Finnish cohort of twenty patients with ocular borreliosis 10 had uveitis 5 subjects showed ocular adnexa inflammation 4 had neuro-ophthalmological alterations and one patient developed branch central retinal vein occlusion. Contact with a tick was clearly reported in only 13 20 cases. 2 There are various ocular symptoms of Lyme disease including pain visual impairment photophobia myodesospia diplopia and lack of accommodation. 3 To observe ocular signs or symptoms it is not necessary that the site of inoculation of the infection is close to the eyes as in Figure 1 . It is possible to define the following ocular findings from the anterior to the posterior segment of the eye Conjunctivitis often self-limited when it appears in the 1st stage of the disease it is associated with an influenza-like syndrome in 7-11 of the patients. It is follicular and uni- or bilateral and in the late phases of disease it may be accompanied by sever eyelid edema in 3 of subjects. Keratitis typical of the 2nd and 3rd stage of the disease it may persist even after appropriate systemic antibiotic treatment suggesting an immunological origin of corneal opacity. It can be disseminated and potentially bilateral but the most characteristic patterns are interstitial or ulcerative with peripheral neovascolarisation. Episcleritis Scleritis very rare almost always related to the late phase of the disease. .

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