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2015 ; 4
(2
): 79-88
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Hypotony Maculopathy: Clinical Presentation and Therapeutic Methods
#MMPMID26253854
Thomas M
; Vajaranant TS
; Aref AA
Ophthalmol Ther
2015[Dec]; 4
(2
): 79-88
PMID26253854
show ga
INTRODUCTION: Hypotony maculopathy is ocular hypotony complicated by papilledema
and/or folding of the retina and choroid in the posterior pole. Our objective was
to examine the current literature regarding hypotony maculopathy and treatment
methods. METHODS: A systematic review of the English-language literature was
conducted by performing a broad search of PubMed from 1972 through 2015 using the
keywords hypotony maculopathy and hypotony. Additional articles were identified
from bibliographies of relevant articles. RESULTS: Hypotony maculopathy was
infrequent before the introduction of antimetabolite agents in glaucoma-filtering
surgery, and the incidence of this entity is now up to 20%. Risk factors for
developing hypotony maculopathy include male gender, young age, myopia, and
primary filtering surgery. Correctly identifying the etiology of hypotony is
essential for successful treatment. Treatment of hypotony maculopathy includes
procedures to elevate the intraocular pressure, thus reversing the collapse of
the scleral wall and chorioretinal wrinkling. CONCLUSION: This review discusses
the definition, clinical presentation, pathophysiology, incidence and risk
factors, prevention and treatment of hypotony maculopathy.