title: Echographic diagnosis of scleral fold in hypotony.
abstract: OBJECTIVE
  To report the echographic appearance of a scleral fold in hypotony.
  
  
  METHODS
  We performed ultrasonography on a patient who, after trabeculectomy with mitomycin C, had an intraocular pressure of 1 mm Hg, an opaque cataract, and suspected hypotonous maculopathy in the left eye.
  
  
  RESULTS
  An area of dome-shaped eyewall thickening was noted near the tendon of the lateral rectus muscle in primary gaze. This thickening increased substantially in lateral gaze, mimicking a foreign body or a tumor.
  
  
  CONCLUSIONS
  Recognizing this abnormality is important to avoid erroneous diagnosis of an intraocular foreign body or a tumor in hypotonous eyes.
authors.affiliation: Wilmer Ophthalmological Institute, Johns Hopkins Hospital, Baltimore, MD 21287, USA.
authors.forename: A
authors.initials: A
authors.lastname: Loewenstein
authors.forename: S
authors.initials: S
authors.lastname: McKinnon
authors.forename: C
authors.initials: C
authors.lastname: DiBernardo
mesh_terms: D002386:Cataract / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D005129:Eye Foreign Bodies / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007429:Intraocular Pressure / Q000187:drug effects; D008875:Middle Aged; D016685:Mitomycin / Q000627:therapeutic use; D015814:Ocular Hypotension / Q000000981:diagnostic imaging*; D011184:Postoperative Period; D012590:Sclera / Q000000981:diagnostic imaging*; D014130:Trabeculectomy; D014463:Ultrasonography
chemical_list: D016685:Mitomycin