A 35-YEAR-OLD man underwent filtration surgery for uncontrolled secondary glaucoma. His intraocular pressure ranged from 40 to 45 mmHg with maximal medical therapy. A trabeculectomy with adjunctive administration of mitomycin C (0.4 mg/mL for 2 minutes) was performed. In the first postoperative week, the intraocular pressure ranged from 1 to 2 mmHg, gradually increasing to 10 mmHg 1 month later. During the 8-month follow-up, the intraocular pressure ranged from 10 to 14 mmHg. The visual acuity initially dropped from a preoperative 20/30 to counting fingers at 1 m, gradually returning back to baseline at 4 months. Choroidal effusion was not noted throughout the postoperative course. Figure 1 shows the gradual resolution of what we consider a typical case of hypotony maculopathy.