Serous retinal detachment and cystoid macular edema in hypotony maculopathy

PURPOSE: To report the foveal structural findings of4 hypotony maculopathy imaged with optical coherence tomography, METHODS: Case report of a 39-year-old white woman with a 20 year history of uveitis, who underwent pars plana vitrectomy and pars plana Baerveldt impl ant for intractable glaucoma. Four months postoperatively, decreased vision and hypotony maculopathy ensued, Optical coherence tomographic (OCT) image s were taken horizontally through the macula. RESULTS: OCT demonstrated large intraretinal cysts, serous macular detachme nt, and choroidal folds, which resolved upon resolution of hypotony, CONCLUSION: Cystic macular changes and serous macular detachment can be pro minent features of hypotony maculopathy, (Am J Ophthalmol 2001;131:384-386, (C) 2001 by Elsevier Science inc, All rights reserved.).