Purpose: Stickler syndrome (STL) is an extremely rare multisystem collagenopathy characterized by auditory, ocular, musculoskeletal, and orofacial abnormalities. In this case report we present a unique ophthalmologic presentation in a patient with Stickler syndrome.

Observations: We report a case of a 66-year-old female with STL with several associated right retinal detachments status post retinectomy with membrane peel in the right eye who prophylactically underwent laser retinopexy of the left eye. In addition to retinal detachment, she has been treated for bilateral vertical diplopia, allergic dermatitis, dry eye syndrome, and bilateral punctate keratitis. It is unclear whether these additional ocular findings could be manifestations of her previously diagnosed STL.

Conclusions and Importance: STL is an exceedingly rare but devastating multisystem collagenopathy with often significant visual implications. Early detection and diagnosis are essential for improved visual outcomes. This case should raise the awareness of variable clinical presentations, treatment, and follow up of patients with STL.

Keywords: Stickler syndrome; Laser retinopexy; Retinal detachment