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¹MD, University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Department of Ophthalmology, İstanbul, Turkey
²Prof. MD, University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Department of Ophthalmology, İstanbul, Turkey
³MD, VM Medical Park Maltepe, Department of Ophthalmology, İstanbul, Turkey
⁴Prof. MD, İstanbul University, İstanbul Faculty of Medicine, Histology and Embyology Department, İstanbul, Turkey
⁵MD, Yüksekova Public Hospital, Department of Ophthalmology, Hakkari, Turkey DOI : 10.37845/ret.vit.2021.30.71 A 45-years-old man presented with decreased vision in his left eye. His best corrected visual acuity was 0,7 OD and 0,4 OS. 1+ cells were detected in his left eye without keratic precipitate(kp), ciliary injection or iris synechiae and intraocular pressure (IOP) was 46 mmHg. Fundus examination showed a total rhegmatogenous retinal detachment in the lower quadrant of the left eye. Due to elevated IOP, 1+ cells in the anterior chamber, regmatogenous retinal detachment and absence of kp, ciliary injection the diagnosis was Schwartz- Matsuo Syndrome. Pars plana vitrectomy operation was performed for retinal detachment after the diagnosis. As predicted, a peripheral retinal tear was detected during pars plana vitrectomy and surgery resulted with normalization of the IOP. Antiglaucoma medication was stopped 2.5 months postoperatively. Electron microscopic examination of aqueous specimen demonstrated photoreceptor outer segments in varying stages of degeneration. We evaluated clinical and imaging fi ndings of this Schwartz-Matsuo Syndrome which is rarely seen but important because the underlying treatable cause of elevated IOP may be overlooked. Keywords : Schwartz-Matsuo Syndrome, retinal detachment, glaucoma, photoreceptor