[Rhegmatogenous retinal detachment and hypertension: Schwartz-Matsuo syndrome].
OBJECTIVE
To assess the usefulness of electron microscopy of the aqueous cells when confronted with the clinical association of rhegmatogenous retinal detachment after trauma, high intraocular pressure (IOP) and aqueous cells.


METHODS
We report a clinical history of a 50-years-old man who had ocular trauma with perforation in 1944, intraocular lens for traumatic cataract in 1988, Yag capsulotomy in 1993 and retinal detachment with oral dialysis, high IOP and aqueous cells in anterior chamber in 1995. During the surgical therapy we performed an anterior chamber puncture to analyse the aqueous cells. An electron microscopic study was performed on 0.2 ml of aqueous humor mixed in the same volume of 2.5% glutaraldehyde and fixed with 1% osmium acid.


RESULTS
Electron microscopic ultrastructural study of the aqueous cells showed numerous photoreceptor outer segments, some of them appearing degenerated.


CONCLUSIONS
The combination of rhegmatogenous retinal detachment with tears near the ora serrata, high IOP and aqueous cells in the anterior chamber should lead the physician to do an anterior chamber puncture and analyse the aqueous cells structure. The combination of those three clinical signs associated with the photoreceptor outer segments in the anterior chamber allowed to diagnose the Schwartz-Matsuo syndrome.
Majo
F
F
Service d'Ophtalmologie, CHU Jean Minjoz, Besançon.
Delbosc
B
B
Montard
M
M
Monnot
P H
PH
Kantelip
B
B
D001082:Aqueous Humor / Q000166:cytology*; D002386:Cataract / Q000150:complications / Q000209:etiology; D003937:Diagnosis, Differential; D005131:Eye Injuries / Q000150:complications*; D005901:Glaucoma / Q000175:diagnosis; D005902:Glaucoma, Open-Angle / Q000175:diagnosis; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008854:Microscopy, Electron; D008875:Middle Aged; D012163:Retinal Detachment / Q000150:complications* / Q000175:diagnosis; D012374:Rod Cell Outer Segment; D013577:Syndrome