While I commend author Julie Tyler, O.D., for giving a concise review about this dreaded, infectious disease, I was very much surprised by the statement that ocular manifestation is fairly uncommon in Lyme disease. As an optometrist who practices 30 miles from Lyme, Conn., I ve examined hundreds of patients with Lyme disease.
Common complaints are vitreous floaters, colored spots or black spots.
They appear more commonly when the spirochete is duplicating, approximately every 28 days. We ve also seen dry eye syndrome with keratitis in some cases. Another common symptom is photopsia. Some patients will describe peripheral movement of objects and quivering of vision. Some patients will complain of head-aches, including severe migraine.