Clinical and anatomical reversal of long-term hypotony maculopathy.
OBJECTIVE
To report a case of clinical and anatomical reversal of long-term hypotony maculopathy after filtration surgery.


METHODS
Interventional/observational case report.


METHODS
Case report and review of a 59-year-old woman who underwent surgical bleb revision for hypotony maculopathy.


RESULTS
Over a 5-year period, progressive vision loss to 20/200 developed in the patient's right eye, with an intraocular pressure in the single digits. She underwent bleb excision, scleral patch graft, and conjunctival advancement. Five weeks later, her visual acuity had dramatically improved to 20/25 with an intraocular pressure of 16 mm Hg. The retinal thickness decreased from 423 microm to 211 microm based on ocular coherence tomography.


CONCLUSIONS
This case demonstrates that long-term hypotony maculopathy is reversible both functionally and structurally.
Oyakhire
John O
JO
Department of Ophthalmology and Visual Science, University of Michigan, Ann Arbor, MI 48105, USA.
Moroi
Sayoko E
SE
D000903:Antibiotics, Antineoplastic / Q000627:therapeutic use; D003228:Conjunctiva / Q000601:surgery*; D005260:Female; D005901:Glaucoma / Q000188:drug therapy / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D008875:Middle Aged; D016685:Mitomycin / Q000627:therapeutic use; D015814:Ocular Hypotension / Q000503:physiopathology / Q000601:surgery*; D011183:Postoperative Complications; D012164:Retinal Diseases / Q000503:physiopathology / Q000601:surgery*; D012590:Sclera / Q000637:transplantation*; D013524:Surgical Flaps; D041623:Tomography, Optical Coherence; D014130:Trabeculectomy; D014792:Visual Acuity; D014821:Vitrectomy
D000903:Antibiotics, Antineoplastic; D016685:Mitomycin