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Hypotony maculopathy: improvement of visual acuity after 7 years
M F Delgado1, S Daniels, S Pascal
1Glaucoma Research & Education Group, 490 Post St., Ste. 644, San Francisco, CA 94102, USA.
Purpose:
To describe a 79-year-old Caucasian male with a history of hypotony maculopathy for 7 years after cataract extraction with subsequent recovery of normal intraocular pressure and improvement of visual acuity.
Methods:
Interventional case report. The patient developed an intraocular pressure ranging from 0 to 5 mm Hg after cataract surgery. He developed hypotony maculopathy, and the visual acuity declined to 20/200. On evaluation 7 years later, a superior cyclodialysis cleft was detected and treated with the argon laser.
Results:
Closure of the cleft with argon laser was successful. The intraocular pressure stabilized at 17 to 20 mm Hg, and the visual acuity improved to 20/30.
Conclusion:
The development of hypotony maculopathy leads to impairment of visual acuity. This case demonstrates that visual acuity can improve after resolution of the maculopathy even after several years of hypotony.
