title: Severe hypotony after macular translocation surgery with 360-degree retinotomy.
abstract: OBJECTIVE
  To report a case of severe hypotony after macular translocation with 360-degree retinotomy.
  
  
  METHODS
  Interventional case report.
  
  
  METHODS
  A 50-year-old woman with myopic neovascular maculopathy underwent macular translocation with 360-degree retinotomy in her left eye.
  
  
  RESULTS
  After the second procedure of silicone oil removal, severe hypotony developed. No clear sign of leakage was found. Pure perfluoropropane gas tamponade was then performed, which resulted in temporal resolution of severe hypotony, but the hypotony recurred as the gas bubble was absorbed. Ten weeks after the second surgery, the hypotonous eye was refilled with silicone oil. No apparent cyclitic membrane was observed intraoperatively. After this procedure, the choroidal and retinal folds regressed; intraocular pressure has been between 5 and 7 mm Hg for more than 4 months thereafter.
  
  
  CONCLUSIONS
  Severe hypotony can occur as a complication of otherwise uneventful macular translocation with 360-degree retinotomy.
authors.affiliation: Department of Ophthalmology, Niigata University School of Medicine, Japan.
authors.forename: Mikio
authors.initials: M
authors.lastname: Ichibe
authors.forename: Toyohisa
authors.initials: T
authors.lastname: Yoshizawa
authors.forename: Shigeo
authors.initials: S
authors.lastname: Funaki
authors.forename: Haruko
authors.initials: H
authors.lastname: Funaki
authors.forename: Yumi
authors.initials: Y
authors.lastname: Ozawa
authors.forename: Yoko
authors.initials: Y
authors.lastname: Tanaka
authors.forename: Haruki
authors.initials: H
authors.lastname: Abe
mesh_terms: D015862:Choroid Diseases / Q000000981:diagnostic imaging; D002924:Ciliary Body / Q000000981:diagnostic imaging / Q000293:injuries; D005260:Female; D005466:Fluorocarbons / Q000627:therapeutic use; D006801:Humans; D007429:Intraocular Pressure; D008875:Middle Aged; D009216:Myopia / Q000150:complications; D015814:Ocular Hypotension / Q000209:etiology* / Q000628:therapy; D011183:Postoperative Complications; D012160:Retina / Q000601:surgery / Q000637:transplantation*; D015861:Retinal Neovascularization / Q000209:etiology / Q000601:surgery; D012421:Rupture; D012827:Silicone Oils / Q000627:therapeutic use; D014463:Ultrasonography
chemical_list: D005466:Fluorocarbons; D012827:Silicone Oils; C042852:perflutren