INCOMPLETE REITERS-SYNDROME WITH FOCAL INVOLVEMENT OF THE POSTERIOR SEGMENT

Purpose: To describe an unusual variant of Yersinia-induced, HLA-B27 a ssociated incomplete Reiter's syndrome with focal involvement of the p osterior segment. Methods: Review of case records of a patient present ing with incomplete Reiter's syndrome which included a reactive arthri tis with keratoconjunctivitis and anterior uveitis. Results: The uveit is progressed to involve the posterior segment with a vitritis and two transient white retinal spots. After resolving, a retinal pigment epi thelial (RPE) defect persisted at the site of one of the lesions. Conc lusions: While involvement of the anterior segment of the globe in Rei ter's disease is well recognised, a review of the literature reveals t hat focal posterior involvement is a rare feature in either Reiter's s yndrome or the reactive arthritis group.