Lyme disease in China and its ocular manifestations

 Zhonghua Yan Ke Za Zhi.  Sep;29,5:271-3. Lyme disease in China and its ocular
manifestations [Article in Chinese] Liu AN.
29Department of Ophthalmology, Chinese Navy General Hospital, Beijing.
The authors report 30 chinese patients of ocular Lyme borreliosis, which is a tick-borne
spirochaetal disease involving multiple organ systems. The ocular manifestations begin as
conjunctivitis, and then as uveitis, choroidoretinitis, keratitis and vitritis. Diagnosis is based on
case history and clinical and laboratory findings. Early cases may be cured by oral antibiotics
while intravenous drip of large dosage is needed for advanced cases, with a relapsing rate of
16%. Prolonged systemic corticosteroids may predispose the patient to antibiotic failure;
however, topical corticosteroids in combination with antibiotics may minimize ocular
inflammation and complications
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