May 1982

Reiter's Keratitis

Author Affiliations

From the Division of Ophthalmology, Department of Surgery, Stanford (Calif) University Medical Center (Dr Mark); and the Department of Ophthalmology, University of Texas Health Science Center at Dallas, Southwestern Medical School (Dr McCulley). Dr Mark is now with Harvard Medical School and the Eye Research Institute, Boston.

Arch Ophthalmol. 1982;100(5):781-784. doi:10.1001/archopht.1982.01030030785011

• A distinctive keratitis occurs commonly in Reiter's syndrome. In three patients with Reiter's keratitis, two demonstrated the typical features of prodromal conjunctivitis, subepithelial and anterior stromal infiltrates, ragged epithelial erosions, and spontaneous resolution. A third case of rare, severe keratitis in addition had an associated finding of disciform keratitis. To our knowledge, this last finding has not previously been reported. Chlamydia has been implicated as an etiologic agent in Reiter's syndrome. Giemsa's stain of corneal epithelial cells in one of our patients disclosed intracytoplasmic inclusions that resembled those seen in Chlamydia-caused conjunctivitis. The patient also exhibited a rising serum titer to Chlamydia antigen.