. Acta Ophthalmol Scand 2007; 85: 586-97.
in a patient with HLA-B27-associated uveitis.
Trabeculectomy has many reported complications such as choroidal effusion, hypotony maculopathy
, hyphema, blebitis, and bleb leakage.
Hypotony maculopathy following trabeculectomy with mitomycin C.
Hypotony maculopathy following the use of topical mitomycin C in glaucoma filtration surgery.
However, lupus flare with clinical ocular findings as hypotony maculopathy
presented 1-week after uneventful surgery.
With control over aqueous flow, the risks of hypotony and its sequelae: anterior chamber shallowing, blood aqueous barrier breakdown, choroidal effusions, hypotony maculopathy
, cataract, hyphaema, suprachoroidal haemorrhage, and aqueous misdirection can be minimised.
Individuals with reduced central corneal thickness may be less likely to develop hypotony maculopathy
. Increased cataract progression is seen with chronic hypotony.
One eye developed hypotony maculopathy
at one month after surgery that was resolved after IOP increased 3 weeks later.
(4) Also, hypotony is common in corneal perforations both before and after surgical repair, so it is possible that hypotony maculopathy
and its sequelae might occur to some extent.
However, while glaucoma filtration surgery does provide a significant reduction in the IOP, this procedure is generally reserved for more serious cases due to potential risks such as endophthalmitis, suprachoroidal hemorrhage, and hypotony maculopathy
Serous retinal detachment and cystoid macular edema in hypotony maculopathy
. Am J Ophthalmol.