Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
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.

PubMed Disclaimer

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

References

    1. Yli-Kertulla UI. Clinical characteristics in male and female uro-arthritis or Reiter's syndrome. Clin Rheumatol. 1984;3:351–60. - PubMed
    1. Doherty M, Ralston SH. Musculoskeletal disease. In: Colledge NR, Walker BR, Ralston SH, editors. Davidson's Principles and Practice of Medicine. Churchill Livingstone; 2010. p. 1094.
    1. Keat A. Reiter's syndrome and reactive arthritis in perspective. N Eng J Med. 1988;309:1606–15. - PubMed
    1. Lee DA, Barker SM, Su WP, Allen GL, Liesegang TJ, Ustrup DM. The clinical diagnosis of Reiter's syndrome. Ophthalmic and non ophthalmic aspects. Ophthalmology. 1986;93:350–6. - PubMed
    1. Conway RM, Graham SL, Lassere M. Incomplete Reiter's syndrome with focal involvement of the posterior segment. Aust N Z J Ophthalmol. 1995;23:63–6. - PubMed

Publication types

MeSH terms