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CASE REPORT
Full-thickness macular hole: a rare complication of Borrelia burgdorferi neuroretinitis
  1. Miranda Buckle1,
  2. Mohammed A Majid1,
  3. Richard Lee1,
  4. Laura R Steeples2
  1. 1 Bristol Eye Hospital, Bristol, UK
  2. 2 Ophthalmology, Manchester Royal Eye Hospital, Manchester, UK
  1. Correspondence to Miranda Buckle, miranda.buckle{at}nhs.net

Summary

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.

  • Retina
  • Infectious diseases

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Footnotes

  • Contributors MB acquired clinical information regarding the case, drafted the work and revised it and approved the final version for publishing. LRS devised the concept, acquired clinical information regarding the case, drafted the work and revised it and approved the final version for publishing. MAM performed the surgery. RL, MAM and LRS approved the final version of the work for publishing.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.