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Unilateral Posterior Stromal Keratitis Possibly Secondary to Lyme Disease

Oldham, Gregory W. MD; Seitzman, Gerami D. MD

doi: 10.1097/ICO.0b013e318274d85d
Case Report

Purpose: To report a case of Lyme disease presenting as unilateral posterior stromal keratitis in a pediatric patient.

Methods: Case report and review of available literature.

Results: A 13-year-old adolescent with unilateral painless blurry vision presented with prominent posterior corneal stromal haze. A positive Borrelia burgdorferi antibody enzyme immunoassay and Western blot analysis (9 of 10 reactive immunoglobulin G bands and 1 of 3 immunoglobulin M bands) confirmed the diagnosis. Treatment with oral antibiotics and topical corticosteroids were necessary for resolution.

Conclusions: Lyme disease may present as a unilateral posterior stromal keratitis, even in a pediatric population. Treatment requires both systemic and topical therapy.

Krieger Eye Institute, Sinai Hospital of Baltimore, Baltimore, MD

Reprints: Gregory W. Oldham, The Krieger Eye Institute, Sinai Hospital of Baltimore, 2411 West Belvedere Ave., Baltimore, MD 21215 (e-mail:

The authors have no funding or conflicts of interest to disclose.

Received December 01, 2011

Accepted September 17, 2012

Copyright © 2013 Wolters Kluwer Health, Inc. All rights reserved.