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Bilateral disciform keratitis in Reiter's syndrome
1Department of Ophthalmology, Fortis Hospital, Mumbai, India.
Indian Journal of Ophthalmology
|November 18, 2016
Summary
Bilateral disciform keratitis is a rare complication of Reiter's syndrome, often following conjunctivitis. Early antibiotic and steroid treatment can effectively manage this condition and secondary infections, restoring vision.
Area of Science:
- Ophthalmology
- Rheumatology
- Infectious Diseases
Background:
- Reiter's syndrome typically presents with conjunctivitis and oligoarthritis.
- Ocular manifestations, such as uveitis, are uncommon, and disciform keratitis is exceptionally rare.
Observation:
- A 13-year-old male presented with bilateral disciform keratitis and oligoarthritis post-conjunctivitis.
- He also exhibited suspected bacterial keratitis with hypopyon in the left eye, indicative of secondary infection.
Findings:
- Empirical topical antibiotics successfully treated the hypopyon.
- Topical steroids resolved the disciform keratitis, leading to a best-corrected vision of 20/20 in both eyes within 6 weeks.
Implications:
- Bilateral disciform keratitis can be a presenting sign of Reiter's syndrome.
- Clinicians should consider secondary bacterial infection in epithelial defects associated with Reiter's keratitis.
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