ECHOGRAPHIC DIAGNOSIS OF SCLERAL FOLD IN HYPOTONY

PURPOSE: To report the echographic appearance of a scleral fold in hyp otony. METHOD: We performed ultrasonography on a patient who, after tr abeculectomy with mitomycin C, had an intraocular pressure of 1 mm Hg, an opaque cataract, and suspected hypotonous maculopathy in the left eye. RESULTS: An area of dome shaped eyewall thickening was noted near the tendon of the lateral rectus muscle in primary gaze. This thicken ing increased substantially in lateral gaze, mimicking a foreign body or a tumor. CONCLUSION: Recognizing this abnormality is important to a void erroneous diagnosis of an intraocular foreign body or a tumor in hypotonous eyes.