Schwartz-Matsuo syndrome in patients with retinal detachment following blunt trauma : 2 cases

Year 2024, Volume: 6 Issue: 1, 1 - 5, 31.12.2024

Gülce Kayıkcı , Seren Pehlivanoğlu , Sanem Belgin , Özgür Artunay

Abstract

Purpose:We have reported two cases of Schwartz Matsuo syndrome secondary to blunt trauma that highlights the pathophysiology, diagnostic challenges and management considerations of this rare disease.

Case Report: A 74-year-old man with a history of frequent falls presented with pain and decreased vision in his left eye for 1.5 days. Best corrected visual accuity (BCVA) was 50/1250, intraocular pressure (IOP) was 56 mmHg, anterior chamber has plus 3 cells and near total retinal detachment (RD). The other patient was 64 years old, history of blunt trauma 10 months ago, BCVA 20/1250, IOP 40 mmHg, +2 anterior chamber reaction and total RD. IOP decreased after vitrectomy in both patients.

Conclusion: Schwartz Matsuo syndrome is characterized by high IOP, RD and anterior chamber reaction. The treatment is to control the IOP with antiglaucomatous drugs and repair the RD.

Keywords

retinal detachment, trauma, intraocular pressure, Schwartz Matsuo Syndrome

References

• 1. Etheridge T, Larson JC, Nork TM, Momont AC. Schwartz-Matsuo syndrome: An important cause of secondary glaucoma. Am J Ophthalmol Case Rep. 2020;17:100586.
• 2. Matsuo N, Takabatake M, Ueno H, Nakayama T, Matsuo T. Photoreceptor outer segments in the aqueous humor in rhegmatogenous retinal detachment. Am J Ophthalmol. 1986;101(6):673-679.
• 3. Clark A, Alkhotani A, Yucel YH, Sylvester C, Kertes PJ, Birt CM. Electron microscopic evidence of photoreceptor outer-segments in the trabecular meshwork in a case of Schwartz-Matsuo syndrome. J Glaucoma. 2019;28(9):843-845.
• 4. Solberg T, Ytrehus T, Ringvold A. Hypotony and retinal detachment. Acta Ophthalmol. 1986;64(1):26-32. 5. Garlı M, Açıkalın B, Altun A, Solakoğlu S, Yamiç M. A case of Schwartz-Matsuo syndrome with electron microscopic findings. Retina-Vitreus. 2021;30(4):409-412.
• 6. Herschler J. Trabecular damage due to blunt anterior segment injury and its relationship to traumatic glaucoma. Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol. 1977;83(2):239-248.
• 7. Wang Y, Hu Z, Jiang Y, Liu H, Fang X. UBM-guided scleral buckling for Schwartz-Matsuo syndrome with tear of nonpigmented epithelium of the ciliary body: a case report. BMC Ophthalmol. 2021;21(1):49.
• 8. Weseley P, Liebmann J, Walsh JB, Ritch R. Lattice degeneration of the retina and the pigment dispersion syndrome. Am J Ophthalmol. 1992;114(5):539-543.
• 9. El Jammal T, Loria O, Jamilloux Y, Gerfaud-Valentin M, Kodjikian L, Sève P. Uveitis as an open window to systemic ınflammatory diseases. J Clin Med. 2021;10(2):281.
• 10. Baneke AJ, Lim KS, Stanford M. The pathogenesis of raised intraocular pressure in uveitis. Curr Eye Res. 2016;41(2):137-149.