A Golf and Shopping Hazard (PowerPoint)

Scalp tenderness; Headache; Visual loss ODA 69-year old male with scalp tenderness, headache and loss of vision OD. Previous history significant for chronic sinusitis and bronchitis.VA: 20/25 OU; Swollen right optic nerve headBorrelia burgdorferiCorticosteroids; Anti-bacterial agents1. Balcer LJ, Winterkorn JM, Galetta SL, Neuro-ophthalmic manifestations of Lyme disease, Journal of Neurophthalmology, 17(2),108-121, 1997. 2. Lesser RL, Ocular manifestations of Lyme disease, American Journal of Medicine, 98(4A), 60S-62S, 1995. 3. Lesser RL, Kornmehl EW, Pachner AR, Kattah J, Hedges TR, Newman NM, Ecker PA, Glassman MI, Neuro-ophthalmologic manifestations of Lyme disease, Ophthalmology, 97(6), 699-706, 1990. 4. Rothermel H, Hedges TR, Steere AC, Optic neuropathy in children with Lyme disease, Pediatrics, 108(2), 477-481,2001