First Author: C.Amantea ITALY
Co Author(s): P. Ceruti G. Marchini 0 0 0 0 0 0 0 0 0
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to describe a case of recurrent retinal detachment in a patient with an atypical presentation of Schwartz-Matsuo syndrome.
Eye Clinic, University of Verona
a 46 years old healthy male patient presenting with high IOP unresponsive to medical therapy, cells in anterior chamber and retinal detachment in his left eye underwent retinal surgery three times (cryocoagulation and pneumatic retinopexy, encircling band scleral buckling, 23 G pars plana vitrectomy with ILM peeling) because of the recurrence of the retinal detachment.
during the vitrectomy we incidentally found a macular hole that was not previously detected and that was probably responsible for the persistent liquid flap at the posterior pole. In the literature there are not described cases of macular holes in Schwartz-Matsuo syndrome.
24 cases of Schwartz Matsuo syndrome are described in the literature from 1970 until now. Usually the patients are young men with post-traumatic rhegmatogenous retinal detachment associated to oral dialyses or tears in the nonpigmented epithelium of the ciliary body with the signs completely relieved after retinal surgeries. Our patient presented with a non post-traumatic retinal detachment without oral dialyses or tears in the nonpigmented epithelium of the ciliary body. The signs disappeared after surgery but the retinal detachment recurred twice and at the end it was associated to a macular hole.