Hypotony maculopathy: improvement of visual acuity after 7 years

Am J Ophthalmol. 2001 Dec;132(6):931-3. doi: 10.1016/s0002-9394(01)01146-1.


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.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Cataract Extraction / adverse effects*
  • Ciliary Body / injuries*
  • Ciliary Body / pathology
  • Ciliary Body / surgery
  • Eye Injuries / diagnosis
  • Eye Injuries / etiology*
  • Eye Injuries / surgery
  • Fluorescein Angiography
  • Humans
  • Intraocular Pressure
  • Laser Coagulation
  • Lens Implantation, Intraocular / adverse effects
  • Male
  • Ocular Hypotension / diagnosis
  • Ocular Hypotension / etiology
  • Ocular Hypotension / physiopathology*
  • Retinal Diseases / diagnosis
  • Retinal Diseases / etiology
  • Retinal Diseases / physiopathology*
  • Time Factors
  • Visual Acuity*