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Previous Volume 345:1350-1351 November 1, 2001 Number 18 Next

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To the Editor: The superb review article on Lyme disease by Steere (July 12 issue)¹ omitted a manifestation associated with the disease: ocular Lyme borreliosis. Ocular Lyme borreliosis is probably underdiagnosed not only because of difficulties in the serologic diagnosis of the disease, but also because the clinical ocular features are often not recognized.

Uveitis (which may be associated with photophobia, macular edema, retinal vasculitis, and decreased vision), neuroretinitis, and choroiditis with retinal detachment may develop.² Neuro-ophthalmic manifestations include optic neuropathy and other cranial neuropathies such as abducens-nerve palsy and paresis of the seventh nerve (which may lead to neurotrophic . . . [Full Text of this Article]

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