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Hypotony Maculopathy: Clinical Presentation and Therapeutic Methods
Merina Thomas1, Thasarat S Vajaranant1, Ahmad A Aref2
1University of Illinois Eye and Ear Infirmary, Department of Ophthalmology and Visual Sciences, University of Illinois Hospital and Health System, Chicago, IL, USA.
Ophthalmology and Therapy
|August 9, 2015
Summary
Hypotony maculopathy, a complication of ocular hypotony, presents with retinal and choroidal folding. Treatment focuses on elevating intraocular pressure to reverse complications.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Glaucoma Surgery Complications
Background:
- Hypotony maculopathy is a condition involving ocular hypotony, leading to papilledema and/or posterior pole chorioretinal folding.
- Its incidence has increased to 20% following the use of antimetabolite agents in glaucoma-filtering surgery.
Purpose of the Study:
- To systematically review the current literature on hypotony maculopathy.
- To examine the definition, clinical presentation, pathophysiology, incidence, risk factors, prevention, and treatment of hypotony maculopathy.
Main Methods:
- A systematic review of English-language literature was performed.
- PubMed was searched from 1972 to 2015 using keywords 'hypotony maculopathy' and 'hypotony'.
- Relevant articles were also identified from bibliographies.
Main Results:
- Risk factors for hypotony maculopathy include male gender, young age, myopia, and primary filtering surgery.
- Accurate diagnosis of hypotony's cause is crucial for effective treatment.
- Treatment aims to increase intraocular pressure, resolving scleral collapse and chorioretinal wrinkling.
Conclusions:
- This review synthesizes current knowledge on hypotony maculopathy.
- It covers the condition's multifaceted aspects from etiology to management.
- Understanding risk factors and treatment strategies is key for managing this complication.
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