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4th Edition of

International Ophthalmology Conference

March 05-07, 2026 | Singapore

IOC 2025

Case report of lyme disease associated proliferative vitreoretinopathy, challenges in diagnostic and treatment

Speaker at International Ophthalmology Conference 2025 - Lesia Parkhomchuk
Center of Clinical Ophthalmology, Ukraine
Title : Case report of lyme disease associated proliferative vitreoretinopathy, challenges in diagnostic and treatment

Abstract:

A woman 30 y. with complains of gradual bilateral visual loss and headache during 6 months. Vis OD=0.25, Vis OS=0.04. Anterior eye segment without changes, IOP normal. On the eye fundus – massive proliferative changes and partial hemophthalmia. Serology negative for Tuberculosis, Sarcoidosis, Lues, Antiphospholipid syndrome and Rheumatologic spectrum.  Serology positive for Lyme disease. She was consulted and treated by infectionist. Previous weeks the patient was taken oral steroids and admitted short time improvement and then the new portion of hemophthalmia appeared. In our clinic was performed Fluorescent angiography, where the presence of neuro vasculitis was confirmed, with massive peripheric fibrovascular proliferation and wide avascular zones. We started with intravitreal injections of anti-VEGF and laser coagulation of avascular zones.  Few weeks later her visual acuity was Vis OD= 0.9, Vis OS=0.7. As there were residual vitreoretinal tractions and local tractional retinal detachment, we performed vitrectomy with gas endo tamponade. And now her vision is 1.0 on both eyes.

Biography:

Dr. Lesia Parkhomchuk graduated in 2007 in Ivano-Frankivsk University, Ukraine. Then she joined the Internship in the Eye Microsurgery Center, at the Academy of postgradual study in Kyiv. Then in 2013 she entered clinical ordinature at the same institution at the vitreoretinal department. In 2016 she obtained the position of Retinal laser specialist in private ophthalmological clinics. Now she works in the Center of clinical Ophthalmology with Professor and vitreoretinal surgeon Andrii Ruban.

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