top of page
Patient Presentation: A 23-year-old obese female was diagnosed with idiopathic intracranial hypertension (IIH) and referred to neurosurgery for ventriculoperitoneal shunt. A baseline ocular examination was performed prior to the procedure.
On examination, vision was 20/200 in the right eye, and 20/40 in the left eye. There was a right relative afferent pupillary defect. Slit lamp examination was normal.
A dilated fundus examination was performed demonstrating the following:
.png)
Retina
Case 42
Patient Presentation: A 54-year-old male presented for his 1-week follow-up appointment after undergoing left eye trabeculectomy surgery. On exam, visual acuity is 20/20 OD, 20/60 OS. The anterior chamber appears deep and the filtering bleb appears elevated, diffuse and is Seidel negative. IOP is 4 mmHg OS. OCT macula OS is shown below:
Question: What is the main abnormality seen on the OCT above?
Question: What is the most likely diagnosis?
Question: What is the likely cause of hypotony maculopathy in this patient?
References:
1. Budenz DL, Schwartz K, Gedde SJ. Occult Hypotony Maculopathy Diagnosed With Optical Coherence Tomography. Arch Ophthalmol. 2005;123(1):113–114.
2. Thomas M, Vajaranant TS, Aref AA. Hypotony Maculopathy: Clinical Presentation and Therapeutic Methods. Ophthalmol Ther. 2015;4(2):79-88.
Learning Objectives:
1. To diagnose and recognize hypotony maculopathy on OCT
2. To understand the different causes of hypotony maculopathy on OCT
3. To understand the treatment of hypotony maculopathy following filtration surgery
bottom of page