Schwartz-Matsuo syndrome: An important cause of secondary glaucoma

Etheridge, Tyler; Larson, Jennifer C.; Nork, T. Michael; Momont, Anna C.

doi:10.1016/j.ajoc.2020.100586

Cited by 5 publications

(4 citation statements)

References 12 publications

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“…The IOP of the patient in our case fluctuated dramatically from 24.0 mmHg to 56.7 mmHg at the first visit and returned to normal after scleral buckling surgery in the absence of an IOP-lowering agent, which was consistent with the reports of Matsuo and Etheridge et al [ 3 , 5 ]. In some reported cases, although the IOP was not beyond the normal value, it had already presented remarkable fluctuation [ 10 ].…”

Section: Discussionsupporting

confidence: 92%

“…OCT confirmed the presence of macula-involving retinal detachment rather than retinoschisis. It is worth noting that adjacent loss of the POS and ellipsoid zone and the existence of microcysts in the inner and outer nuclear layers were observed at the detached retina, which proved chronic retinal detachment [ 5 , 17 ]. OCT features might provide additional evidence of POS loss and entrance to the AC.…”

Section: Discussionmentioning

confidence: 99%

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UBM-guided scleral buckling for Schwartz-Matsuo syndrome with tear of nonpigmented epithelium of the ciliary body: a case report

Wang

Jiang

et al. 2021

BMC Ophthalmol

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Background Tears in Schwartz-Matsuo syndrome are generally confirmed by preoperative ophthalmoscopic examination. A case of Schwartz-Matsuo syndrome with a tear detected by ultrasound biomicroscopy (UBM) and treated by UBM-guided scleral buckling was reported, and its mechanism was analysed. Case presentation A 40-year-old Chinese man presented with blurry vision and intermittent eye pain in his left eye for three days. The visual acuity of the left eye decreased from 20/20 to 20/40, and the intraocular pressure (IOP) fluctuated dramatically from 24.0 mmHg to 56.7 mmHg at the first visit. Gonioscopy revealed that the chamber angle remained open. A macula-involving inferior retinal detachment extending from 4:30 to 9:30 with no obvious causative break was observed through ophthalmoscopic examination. However, a single small tear was detected at the nonpigmented epithelium of pars plana of the ciliary body at approximately 7–8 o’clock by UBM. The loss of photoreceptor outer segments and ellipsoid zone and the existence of macular microcysts in the inner and outer nuclear layers were observed in the detached macula by optical coherence tomography. Then, he underwent successful scleral buckling guided by UBM. Three months later, the retina was flat with normal IOP, and the best corrected visual acuity of his left eye gradually improved to 20/25. UBM confirmed the closure of the tear. Conclusions Tear of the nonpigmented epithelium of the ciliary body is a rare condition associated with Schwartz-Matsuo syndrome. UBM plays a key role in detecting occult tears of the nonpigmented epithelium of the ciliary body, guiding scleral buckling surgery, and observing the closure of the tear postoperatively.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

UBM-guided scleral buckling for Schwartz-Matsuo syndrome with tear of nonpigmented epithelium of the ciliary body: a case report

Wang

Jiang

et al. 2021

BMC Ophthalmol

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“…Das Schwartz-Matsuo-Syndrom ist ein seltenes Sekundärglaukom, das mit einer Netzhautablösung assoziiert ist und bei dem sehr hohe Augendruckwerte auftreten können [46]. Spaltlampenmikroskopisch finden sich feine pigmentierte Partikel/Zellen in der Vorderkammer.…”

Section: Schwartz-matsuo-syndromunclassified

“…Schwartz-Matsuo syndrome is a rare secondary glaucoma associated with retinal detachment which can feature very high intraocular pressures [46]. Slit-lamp microscopy reveals fine pigmented particles/cells in the anterior chamber.…”

Section: Schwartz-matsuo Syndromementioning

confidence: 99%

Sekundärglaukome im Rahmen retinaler Erkrankungen

Greslechner

Helbig

2022

Klin Monbl Augenheilkd

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Zusammenfassung: Eine Vielzahl retinaler Erkrankungen kann zur Entwicklung eines Glaukoms führen. Die häufigste Form dieser Sekundärglaukome sind die Neovaskularisationsglaukome, die den Hauptteil dieser Übersicht bilden. Dabei handelt sich um ein schwerwiegendes Krankheitsbild, dass in mehreren Stadien verläuft, wobei die Prognose mit zunehmendem Stadium ungünstiger und die Therapie herausfordernder wird. Neben Pathogenese und Diagnostik wird daher ein Schwerpunkt wird auf die Früherkennung und eine an das jeweilige Krankheitsstadium angepasste Therapie gelegt. Auch seltenere Sekundärglaukome im Rahmen intraokularer Tumore sowie Glaukome assoziiert mit einer Netzhautablösung (Schwartz-Matsuo Syndrom) und Glaukome, die im Spätverlauf nach unkomplizierter Vitrektomie auftreten, werden in dieser Übersicht diskutiert. Abstract: A variety of retinal diseases can lead to the development of glaucoma. The most common type of these secondary glaucomas is neovascular glaucoma (NVG), which constitutes the main subject of this review. NVG is a severe condition with a poor prognosis. Treatment gets increasingly challenging as the disease progresses. Thus emphasis is put on early diagnosis and an stage adjusted therapy. Other less frequent secondary glaucomas, such as glaucomas due to intraocular tumors or associated with retinal detachment (Schwartz-Matsuo syndrome) and late onset open-angle glaucomas after uncomplicated vitrectomy are covered.

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