Five cases of paralytic strabismus as a rare feature of lyme disease
(5 cas de strabismes paralytiques dans des cas rares de maladie de Lyme)

Sauer A, Hansmann Y, Jaulhac B, Bourcier T, Speeg-Schatz C.
Departments of Ophthalmology, Pole Specialty Medecine Ophthalmology Hygiene, Hopitaux Universitaires de Strasbourg, Strasbourg, France. arnaud.sauer@gmail.com

Lyme borreliosis is the most common human tick-borne disease in the Northern Hemisphere.
The prevalence of Lyme borreliosis is estimated to be 20-100 cases per 100,000 persons in the United States and 100-155 cases per 100,000 persons in Europe.
It is caused by the spirochete Borrelia burgdorferi sensu lato [ 2 , 3 ]. The course of clinical manifestations is thought to occur in 3 stages: early, disseminated, and chronic.
Lyme borreliosis can cause a variety of ocular manifestations, and the frequency of these manifestations among cases of Lyme disease involving systemic manifestations is approximately 1%

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