Centre Ophtalmologique de la Gare à Lausanne

Rhegmatogenous retinal detachment and hypertension: Schwartz-Matsuo syndrome

ABSTRACT

PURPOSE

To assess the usefulness of electron microscopy of the aqueous cells when confronted with the clinical association of rhegmatogenous retinal detachment after trauma, high intraocular pressure (IOP) and aqueous cells.

SETTING

Service d’Ophtalmologie, CHU Jean Minjoz, Besançon, France.

METHODS

We report a clinical history of a 50-years-old man who had ocular trauma with perforation in 1944, intraocular lens for traumatic cataract in 1988, Yag capsulotomy in 1993 and retinal detachment with oral dialysis, high IOP and aqueous cells in anterior chamber in 1995. During the surgical therapy we performed an anterior chamber puncture to analyse the aqueous cells. An electron microscopic study was performed on 0.2 ml of aqueous humor mixed in the same volume of 2.5% glutaraldehyde and fixed with 1% osmium acid.

RESULTS

Electron microscopic ultrastructural study of the aqueous cells showed numerous photoreceptor outer segments, some of them appearing degenerated.

CONCLUSIONS

The combination of rhegmatogenous retinal detachment with tears near the ora serrata, high IOP and aqueous cells in the anterior chamber should lead the physician to do an anterior chamber puncture and analyse the aqueous cells structure. The combination of those three clinical signs associated with the photoreceptor outer segments in the anterior chamber allowed to diagnose the Schwartz-Matsuo syndrome.

+ Authors’ Information

1. Service d’Ophtalmologie, CHU Jean Minjoz, Besançon.

https://www.ncbi.nlm.nih.gov/pubmed/9894210

Publié dans

Research published online PUBMED

Date de publication

Auteur(s)

F. Majo
B. Delbosc
M. Montard
PH. Monnot
B. Kantelip

Auteur au sein du COG

Catégories

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