MACULAR MICROCYSTS IN SCHWARTZ-MATSUO SYNDROME.

Objective: To describe a case of macular microcysts associated with advanced secondary glaucoma from Schwartz-Matsuo syndrome.

Methods: Clinical presentation, color fundus photography, optic disk photography, visual fields, and optical coherence tomography are presented.

Results: 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.

Conclusions: 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.