Spectral-domain optical coherence tomography features of hypotonous maculopathy after successful retinal detachment surgery.
OBJECTIVE
To describe the spectral-domain optical coherence tomography features in a patient with an atypical presentation of hypotonous maculopathy after successful retinal detachment surgery.


METHODS
A 64-year-old man underwent scleral buckling with pars plana vitrectomy for the repair of retinal detachment. Postoperatively, the retina was attached but he had poor recovery of vision. Intraocular pressure was recorded to be on the lower side of normal. He underwent posterior segment evaluation by spectral-domain optical coherence tomography.


RESULTS
Spectral-domain optical coherence tomography revealed cystoid macular edema and a neurosensory detachment involving the posterior pole. In addition, underneath the neurosensory detachment, spectral-domain optical coherence tomography revealed folds of the retinal pigment epithelium and Bruch membrane, features of hypotonous maculopathy.


CONCLUSIONS
Spectral-domain optical coherence tomography is a useful investigational modality in the diagnosis of ocular hypotony presenting with atypical features.
From the Department of Ophthalmology, College of Medicine, University of Florida, Jacksonville, Florida.
Kakarla V
KV
Chalam
Vikram S
VS
Brar
Ravi K
RK
Murthy