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Serous retinal detachment and cystoid macular edema in hypotony maculopathy
G T Kokame1, M D de Leon, T Tanji
1Division of Ophthalmology, Department of Surgery, University of Hawaii School of Medicine, Honolulu, Hawaii 96701, USA. retinahi@aol.com
Purpose:
To report the foveal structural findings of hypotony maculopathy imaged with optical coherence tomography.
Methods:
Case report of a 39-year-old white woman with a 20 year history of uveitis, who underwent pars plana vitrectomy and pars plana Baerveldt implant for intractable glaucoma. Four months postoperatively, decreased vision and hypotony maculopathy ensued. Optical coherence tomographic (OCT) images were taken horizontally through the macula.
Results:
OCT demonstrated large intraretinal cysts, serous macular detachment, and choroidal folds, which resolved upon resolution of hypotony.
Conclusion:
Cystic macular changes and serous macular detachment can be prominent features of hypotony maculopathy.