Bilateral disciform keratitis in Reiter's syndrome

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 conju...

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Main Author: Palanisamy S Suresh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2016;volume=64;issue=9;spage=685;epage=687;aulast=Suresh
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author Palanisamy S Suresh
author_facet Palanisamy S Suresh
author_sort Palanisamy S Suresh
collection DOAJ
description 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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spelling doaj.art-81b6ad3d606e4dde846611d1d288ced22022-12-22T01:50:36ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892016-01-0164968568710.4103/0301-4738.97088Bilateral disciform keratitis in Reiter's syndromePalanisamy S SureshReiter'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.http://www.ijo.in/article.asp?issn=0301-4738;year=2016;volume=64;issue=9;spage=685;epage=687;aulast=SureshDisciform keratitishypopyon ulcerReiter's keratitis
spellingShingle Palanisamy S Suresh
Bilateral disciform keratitis in Reiter's syndrome
Indian Journal of Ophthalmology
Disciform keratitis
hypopyon ulcer
Reiter's keratitis
title Bilateral disciform keratitis in Reiter's syndrome
title_full Bilateral disciform keratitis in Reiter's syndrome
title_fullStr Bilateral disciform keratitis in Reiter's syndrome
title_full_unstemmed Bilateral disciform keratitis in Reiter's syndrome
title_short Bilateral disciform keratitis in Reiter's syndrome
title_sort bilateral disciform keratitis in reiter s syndrome
topic Disciform keratitis
hypopyon ulcer
Reiter's keratitis
url http://www.ijo.in/article.asp?issn=0301-4738;year=2016;volume=64;issue=9;spage=685;epage=687;aulast=Suresh
work_keys_str_mv AT palanisamyssuresh bilateraldisciformkeratitisinreiterssyndrome