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Photo Essay
October 2003

Resolution of Hypotony Maculopathy

Arch Ophthalmol. 2003;121(10):1502-1503. doi:10.1001/archopht.121.10.1502

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.

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