Chorioretinitis in a case of Reiter syndrome

A 46-year-old male was referred to us for uveitis in his left eye. He had had iridocyclitis in the right eye 7 months before. He had episodes of urethritis, balanitis and arthritis. He was positive for HLA-B27 and antichlamydia antibody. These features had led to the diagnosis of Reiter syndrome. His left eye showed chronic signs of anterior uveitis, disc swelling and cystoid macular edema. Fluorescein angiography showed dye leakage from the disc and retinal capillaries as well as macular edema. Longstanding intraocular inflammation appeared to have been the cause of the chorioretinal lesions. This case illustrates the need for regular ophthalmological observations and early treatment in cases of Reiter syndrome.