Lyme disease is a multi-system organ disorder caused by Borrelia burgdorferi. Although ocular manifestations
have been reported, these remain a rare feature of the disease. This report shows a 49-years old patient that has been
bitten by a tick and as consequence of which developed symptoms of the Lyme disease. In 1998 the patient was hospitalized
in our Eye Clinic due to operating treatment of the paralytic strabismus (abductal nerve paralysis), as a rare feature
of the Lyme disease. Postoperative squint angle was significantly reduced, but without any temporal movement.
Diplopia was still present, though slightly reduced with the use of prism eyeglasses. The improvement of the quality of
life was achieved, as well as the patient\u27s satisfaction