Macular Microcysts In Schwartz–matsuo Syndrome

To describe a case of macular microcysts associated with advanced secondary glaucoma from Schwartz-Matsuo syndrome. Clinical presentation, color fundus photography, optic disk photography, visual fields, and optical coherence tomography are presented. 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. 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.