Mature secondary cataracts and reversible ocular hypotension

Three eyes of three patients are reported with ocular hypotension and mature, white cataracts secondary to other ocular disease. Ocular pressures rapidly rose to and remained at normal levels with recovery of excellent vision in all three eyes following cataract extraction, with follow-up periods of 16 to 28 months. Thus a hypotensive eye with a mature, white cataract secondary to other eye disease is not necessarily hopeless, and hypotony is not a contraindication to cataract extraction in such patients.