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.
Subject(s)
Arthritis, Reactive/complications , Eye Infections, Bacterial/etiology , Keratitis/etiology , Adolescent , Anti-Bacterial Agents/therapeutic use , Arthritis, Reactive/diagnosis , Arthritis, Reactive/drug therapy , Drug Therapy, Combination , Eye Infections, Bacterial/diagnosis , Eye Infections, Bacterial/drug therapy , Glucocorticoids/therapeutic use , Humans , Keratitis/diagnosis , Keratitis/drug therapy , MaleABSTRACT
We report a case of bilateral infectious keratitis occurring as a complication of bilateral simultaneous laser in situ keratomileusis enhancement procedures. Corneal scraping from the interface of both eyes grew Staphylococcus aureus. The infection cleared after treatment with fortified cefazolin, fortified gentamicin, and ciprofloxacin eyedrops. The patient was left with bilateral paracentral corneal scars. When bilateral surgery is performed, bilateral infection may occur as a rare complication.
