Matsuo T, Muraoka N, Shiraga F, Matsuo N
Department of Ophthalmology, Okayama University Medical School, Okayama City, Japan.
Acta Ophthalmol Scand. 1998 Aug;76(4):481-5. doi: 10.1034/j.1600-0420.1998.760417.x.
To elucidate clinical features of Schwartz-Matsuo syndrome (photoreceptor outer segment glaucoma) occurring in retinal detachment with tears of the nonpigmented epithelium of the pars plana or plicata of the ciliary body.
We reviewed retrospectively medical records of 17 consecutive patients (18 eyes) with retinal detachment caused by tears of the nonpigmented epithelium of pars plana (10 eyes) and pars plicata (8 eyes) of the ciliary body.
Aqueous cells, ranging from 1+ to 3+, were found in 15 eyes, in contrast with no cells in the other 3 eyes. Eleven of the 15 eyes with aqueous cells showed circadian fluctuation of the intraocular pressure with a range, 4 mmHg or wider compared with the range in the fellow eye, but only 4 of these 11 eyes had a maximum pressure of 21 mmHg or higher. Photoreceptor outer segments were detected in the aqueous humor of 8 eyes out of 14 eyes with aqueous cells in which aqueous tap was done. The remaining 6 eyes had too small a number of aqueous cells for electron microscopy.
Marked fluctuation of the intraocular pressure compared with the fellow eye, which was not necessarily associated with its rise, was found in retinal detachment with tears of the nonpigmented epithelium of the ciliary body, and should be included as one of key features for diagnosis of Schwartz-Matsuo syndrome.
阐明发生于视网膜脱离伴睫状体扁平部或皱襞部无色素上皮撕裂的施瓦茨-松尾综合征（光感受器外段青光眼）的临床特征。
我们回顾性分析了17例连续患者（18只眼）的病历，这些患者因睫状体扁平部（10只眼）和皱襞部（8只眼）无色素上皮撕裂导致视网膜脱离。
15只眼中发现房水细胞，范围为1+至3+，其余3只眼中未发现细胞。15只有房水细胞的眼中，11只眼眼压出现昼夜波动，与对侧眼相比波动范围为4 mmHg或更宽，但这11只眼中只有4只眼的最高眼压为21 mmHg或更高。在进行房水穿刺的14只有房水细胞的眼中，8只眼的房水中检测到光感受器外段。其余6只眼的房水细胞数量过少，无法进行电子显微镜检查。
在伴有睫状体无色素上皮撕裂的视网膜脱离中，发现眼压与对侧眼相比有明显波动，且不一定伴有眼压升高，这应作为施瓦茨-松尾综合征诊断的关键特征之一。
