Successful surgical treatment of hypotony maculopathy following trabeculectomy with topical mitomycin C

J. S. Duker, J. S. Schuman

    Research output: Contribution to journalArticle

    Abstract

    Hypotony maculopathy, a clinical syndrome consisting of choroidal folds, retinal folds, and optic disc edema, results from severe, chronically decreased intraocular pressure (IOP). Conventional therapy consists of procedures designed to normalize the IOP. We treated a patient who developed hypotony maculopathy following trabeculectomy with mitomycin C. Despite normalization of the IOP with bleb revision, neither the posterior segment architecture nor visual acuity improved. Vitrectomy with mechanical flattening of the posterior segment via intraoperative instillation of perfluorocarbon liquid was performed. The choroidal folds resolved and visual acuity improved from 20/200 to 20/20. In eyes with hypotony maculopathy in which the posterior segment anatomy and visual acuity do not improve after IOP normalization, vitrectomy with heavier-than-water liquids may improve vision.

    Original languageEnglish (US)
    Pages (from-to)463-465
    Number of pages3
    JournalOphthalmic Surgery
    Volume25
    Issue number7
    StatePublished - 1994

    ASJC Scopus subject areas

    • Ophthalmology

    Fingerprint Dive into the research topics of 'Successful surgical treatment of hypotony maculopathy following trabeculectomy with topical mitomycin C'. Together they form a unique fingerprint.

  • Cite this