Journal of Clinical and Experimental Ophthalmology
Open Access
ISSN: 2155-9570
ISSN: 2155-9570
Romeo Laurent A Apostol IV and Emerson Jay B Molina
Ophthalmology Resident, Cardinal Santos Medical Center, San Juan City, Philippines.
Posters & Accepted Abstracts: J Clin Exp Ophthalmol
Background & Aim: Reactive Arthritis is an autoimmune HLA-B27 associated disorder usually induced by prior systemic infection. Th e syndrome usually shows a triad of arthritis, conjunctivitis and urethritis. It is a less common yet more serious ocular manifestation is non-granulomatous iritis, which occurs in 2-11% of patients. We herein present a case of reactive arthritis presenting with acute anterior uveitis and keratitis treated with systemic and topical medications. Case Presentation: A 22-year-old male consulted due to 1-week history of severe blurring of vision, photophobia and eye pain on both eyes. Visual acuity was Hand movement on the right eye and counting fi ngers at 3 feet on the left eye. Both eyes showed diff use corneal epithelial cell loss, stromal edema and Descemet�s membrane folds. Th ere was also a Grade 2-3 anterior chamber cellular reaction and fi ne keratic precipitates. Ocular symptoms were accompanied by right knee swelling, urinary symptoms with penile discharge and multiple cutaneous lesions on the trunk and proximal lower extremities. Patient underwent a course of systemic and topical steroid treatment in conjunction with antibiotics. Th ere was a rapid resolution of ocular symptoms and clinical improvement of associated systemic problems. Conclusion: Non-granulomatous iritis is a less common but serious ocular manifestation of reactive arthritis. Early recognition of this disease as part of the reactive arthritis disease complex is key in preventing debilitating ocular and systemic complications.