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Case Reports
. 2016 Sep;64(9):685-687.
doi: 10.4103/0301-4738.97088.

Bilateral disciform keratitis in Reiter's syndrome

Palanisamy S Suresh  1
Affiliations
Case Reports

Bilateral disciform keratitis in Reiter's syndrome

Palanisamy S Suresh. Indian J Ophthalmol. 2016 Sep.

Abstract

Reiter's syndrome is commonly associated with conjunctivitis and rarely with uveitis. Bilateral disciform keratitis at presentation is a very rare manifestation in Reiter's syndrome. A 13-year-old boy developed bilateral disciform keratitis with oligoarthritis following an episode of conjunctivitis. In addition he had suspected bacterial keratitis with hypopyon in the left eye as a possible secondary infection of an epithelial defect that is a feature of Reiter's keratitis. Empirical treatment with intensive topical antibiotics as a therapeutic trial completely resolved the hypopyon and the disciform keratitis settled with topical steroid treatment. The patient achieved a best corrected vision of 20/20 in both the eyes 6 weeks after the treatment. Bilateral disciform keratitis can occur as a complication of Reiter's syndrome. Also the possibility of secondary infection of the epithelial defect needs to be borne in mind.

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Figures

Figure 1
Figure 1
(a) Disciform keratitis (OD), (b) Disciform keratitis with small epithelial defect (OS) (arrow)
Figure 2
Figure 2
(a) Two weeks later (OD), (b) Two weeks later (OS)
See this image and copyright information in PMC

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