TY - JOUR
T1 - Pupila tônica bilateral como seqüela oftálmica isolada da doença de Lyme
T2 - Relato de caso
AU - Fugimoto, Fernando
AU - Ghanem, Ramon Coral
AU - Ribeiro Monteiro, Mário Luiz
PY - 2005
Y1 - 2005
N2 - Lyme disease is a multisystemic disorder caused by Borrelia burgdorferi spirochete, transmitted by ticks. Mainly described in the northern hemisphere and rarely in Brazil. The purpose of this report is to describe a patient with Lyme disease who developed bilateral tonic pupil as the only remaining sign. A 13-year-old female with Lyme disease, presented with bilateral peripheral facial and oculomotor paralysis. After recovery from neurological abnormalities the patient sustained anisocoria, reduced fotomotor reflex, less than normal amplitude of accommodation, tonic pupil constriction for near objects and slow redilatation in both eyes. Dilute 0.1% pilocarpine test was positive in both eyes, confirming the suspicion of bilateral tonic pupil. This is the first case report of bilateral tonic pupil caused by Lyme disease.
AB - Lyme disease is a multisystemic disorder caused by Borrelia burgdorferi spirochete, transmitted by ticks. Mainly described in the northern hemisphere and rarely in Brazil. The purpose of this report is to describe a patient with Lyme disease who developed bilateral tonic pupil as the only remaining sign. A 13-year-old female with Lyme disease, presented with bilateral peripheral facial and oculomotor paralysis. After recovery from neurological abnormalities the patient sustained anisocoria, reduced fotomotor reflex, less than normal amplitude of accommodation, tonic pupil constriction for near objects and slow redilatation in both eyes. Dilute 0.1% pilocarpine test was positive in both eyes, confirming the suspicion of bilateral tonic pupil. This is the first case report of bilateral tonic pupil caused by Lyme disease.
KW - Case report
KW - Ceftriaxone/therapeutic use
KW - Lyme disease/complications
KW - Lyme disease/diagnosis
KW - Lyme disease/drug therapy
KW - Meningoencephalitis
KW - Papilledema/etiology
KW - Tonic pupil
UR - http://www.scopus.com/inward/record.url?scp=28244465201&partnerID=8YFLogxK
U2 - 10.1590/s0004-27492005000300020
DO - 10.1590/s0004-27492005000300020
M3 - Artículo de revisión
SN - 0004-2749
VL - 68
SP - 381
EP - 384
JO - Arquivos Brasileiros de Oftalmologia
JF - Arquivos Brasileiros de Oftalmologia
IS - 3
ER -