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Juan C. Nieto, MD; Nancy Kim, MD, PhD; Mark J. Lucarelli, MD

Arch Ophthalmol. 2008;126(8):1165-1166.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

To our knowledge, Lyme disease–associated orbital myositis has been serologically confirmed in 3 reported cases.^1-3 No cases of dacryoadenitis have been reported in association with this disease entity.

Report of a Case

A 66-year-old, previously healthy woman had a 6-day history of right periorbital edema, erythema, diplopia, pain with eye movement, tearing, nausea, and vomiting. She reported a deer tick bite on the posterior neck 2 months prior that occurred while hunting during the early summer months in northern Wisconsin. The bite was followed by 3 weeks of fever, nausea, diarrhea, weakness, arthralgias, and a diffuse rash, all of which resolved after a 10-day course of ciprofloxacin hydrochloride.

Examination revealed best-corrected visual acuities of 20/20 OD and 20/25 OS as well as no afferent pupillary defect. Intraocular pressure measured 15 mm Hg OU. There was a mild right exotropia with moderately limited . . . [Full Text of this Article]

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