Chen Xuejing, Richter Grace M, Caprioli Joseph, McCannel Tara A
Department of Ophthalmology, Stein Eye Institute, University of California Los Angeles, Los Angeles, California.
Retin Cases Brief Rep. 2018;12(4):367-370. doi: 10.1097/ICB.0000000000000506.
To describe a case of macular microcysts associated with advanced secondary glaucoma from Schwartz-Matsuo syndrome.
Clinical presentation, color fundus photography, optic disk photography, visual fields, and optical coherence tomography are presented.
A 32-year-old woman presented with advanced, unilateral secondary glaucoma associated with a macula-on rhegmatogenous retinal detachment. She was diagnosed with Schwartz-Matsuo syndrome. Spectral domain optical coherence tomography showed macular microcystic changes in the paracentral retina at the level of the inner nuclear layer.
Macular microcystic changes in the paracentral inner nuclear layer on spectral domain optical coherence tomography have been described in eyes with optic atrophy associated with a variety of diseases. This is the first described case of macular microcysts associated with advanced secondary glaucoma from Schwartz-Matsuo syndrome and may offer insights into the pathogenesis of these microcysts.
描述一例与施瓦茨-松尾综合征相关的晚期继发性青光眼伴黄斑微囊肿的病例。
介绍临床表现、彩色眼底照相、视盘照相、视野检查和光学相干断层扫描。
一名32岁女性患有晚期单侧继发性青光眼，伴有黄斑孔源性视网膜脱离。她被诊断为施瓦茨-松尾综合征。光谱域光学相干断层扫描显示内核层水平的黄斑旁视网膜有微囊肿样改变。
光谱域光学相干断层扫描显示，在与多种疾病相关的视神经萎缩眼中，黄斑旁内核层存在微囊肿样改变。这是首次报道的与施瓦茨-松尾综合征相关的晚期继发性青光眼伴黄斑微囊肿的病例，可能为这些微囊肿的发病机制提供见解。
