Five cases of paralytic strabismus as a rare feature of lyme disease

Abstract

Lyme borreliosis is the most common human tick-borne disease in the Northern Hemisphere. The prevalence of Lyme borreliosis is estimated to be 20-100 cases per 100,000 persons in the United States and 100-155 cases per 100,000 persons in Europe [1, 2]. It is caused by the spirochete Borrelia burgdorferi sensu lato [2, 3]. The course of clinical manifestations is thought to occur in 3 stages: early, disseminated, and chronic [2, 4]. Lyme borreliosis can cause a variety of ocular manifestations, and the frequency of these manifestations among cases of Lyme disease involving systemic manifestations is ∼1% [5]. © 2009 by the Infectious Diseases Society of America. All rights reserved.