Neuroborreliosis And The Optic Nerve

Lyme disease is a spirochetal disease known to cause a variety of clinical manifestations including involvement of the optic nerves. Distinguishing optic nerve swelling from elevated intracranial pressure and optic neuritis can present a challenge to clinicians. We present a case illustrating each manifestation and review the literature to further explore the subtleties between optic nerve swelling from elevated intracranial pressure and optic neuritis in Lyme Disease. The main objective is to identify patterns, similarities, and differences in the presentation, treatment, and prognosis of these two entities.