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Borrelia burgdorferi is a known infective cause of neuroretinitis. We present a case of B burgdorferi neuroretinitis complicated by macular hole in a 22-year-old man. The neuroretinitis was managed with early high-dose intravenous corticosteroid and oral antibiotic. The macular hole was managed with macular hole surgery after intraocular inflammation had resolved.

Original publication




Journal article


BMJ Case Rep

Publication Date





Infectious diseases, Retina, Borrelia burgdorferi Group, Diagnosis, Differential, Humans, Lyme Disease, Male, Retinal Perforations, Retinitis, Vitrectomy, Young Adult