Aim: To describe an unusual case presentation of INO associated with possible Lyme disease. Methods: This is a case report of a 30 year old man who presented to the emergency department complaining of right orbital pain. double vision and an inability to look to the left. He was seen by the ophthalmologist and neurologist and reported worsening symptoms of a frontal headache and diffi... https://www.divivoyance.com/product-category/glass-bottles/