Neuro-ophthalmology consequences of Lyme disease
Reviewed by Fiona Rowe

This study sought to review the seasonality and the occurrence of Lyme disease within their institution with a focus on neuro-ophthalmic consequences. This was a retrospective study of 212 children: 50 (24%) with neuroborreliosis (NB). There was an increase in Lyme disease and NB cases from 2018–2020 with the main increase within summer months. The most common presentation of NB was facial nerve palsy (58%) and meningitis (11%). Eight patients had intracranial hypertension and four with papilloedema. Ten had ocular presentations (20% of NB cases); six with papilloedema, four with sixth nerve palsy and three with conjunctivitis. There were no cases of keratitis or uveitis. The authors conclude Lyme disease is increasing in occurrence and requires careful neurological and ophthalmology evaluation.

Yearly occurrence and seasonality of neuro-ophthalmic manifestations of pediatric Lyme disease.
Silverstein M, Jordan IO, Aylward SC, Inger M.
JOURNAL OF PEDIATRIC OPHTHALMOLOGY AND STRABISMUS
2024;61(3):179–82.