title: Delayed Correction of Hypotony Maculopathy in a Patient with Glaucoma and Thyroid-Related Orbitopathy.
abstract: Hypotony maculopathy is a condition that may result in visual deterioration from choroidal folds or optic disc edema. Optic disc edema can result from altered translaminar pressure gradients (lowered intraocular pressure, increased cerebrospinal fluid pressure, or increased orbital pressure). We report a case of bilateral optic disc edema in a patient with glaucoma and thyroid-related orbitopathy. The patient's disc edema was initially presumed to be secondary to her orbitopathy, but persisted after bilateral orbital decompression. Ultimately, disc edema and choroidal folds in the right eye resolved after trabeculectomy revision and an increase in intraocular pressure. This case serves as a reminder of the causes of optic disc edema and demonstrates delayed reversal of hypotony maculopathy.
authors.affiliation: Department of Ophthalmology, University of Washington, Seattle, Wash., USA.
authors.forename: Divakar
authors.initials: D
authors.lastname: Gupta
authors.affiliation: Department of Ophthalmology and Visual Science, The Ohio State University, Columbus, Ohio, USA.
authors.forename: Mark
authors.initials: M
authors.lastname: Slabaugh
authors.affiliation: Department of Ophthalmology, University of Washington, Seattle, Wash., USA.
authors.forename: Courtney E
authors.initials: CE
authors.lastname: Francis
keywords: Hypotony maculopathy; Optic disc edema; Thyroid-related orbitopathy; Trabeculectomy