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  • Title: [Bilateral Leber's neuroretinitis stellata in Borrelia burgdorferi seroconversion].
    Author: Schönherr U, Lang GE, Meythaler FH.
    Journal: Klin Monbl Augenheilkd; 1991 Jan; 198(1):44-7. PubMed ID: 2023374.
    Abstract:
    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.
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