Open AccessHypotony maculopathy after trabeculectomy in a patient with GAPO syndrome
Author(s) -
Selim Genç
Publication year - 2019
Publication title -
beyoğlu eye journal (online)/beyoğlu eye journal
Language(s) - English
Resource type - Journals
eISSN - 2587-0394
pISSN - 2459-1777
DOI - 10.14744/bej.2019.83007
Subject(s) - trabeculectomy , medicine , maculopathy , ophthalmology , intraocular pressure , bleb (medicine) , glaucoma , retinal , mitomycin c , surgery , fundus (uterus) , retinopathy , endocrinology , diabetes mellitus
This report describes a case of hypotony maculopathy developing in a patient with GAPO syndrome following a trabeculectomy with mitomycin C (MMC). A 42-year-old man with a diagnosis of GAPO syndrome underwent a trabeculectomy with an MMC application of 0.4 mg/mL for 1 minute. Intraocular pressure was measured at 6 to 8 mmHg during the first weeks after the surgery. A fundus examination then revealed macular choroidal folds, retinal vascular tortuosity, and swelling in the optic nerve. At postoperative 1 month, additional suturing of a bleb was performed; however, the hypotony continued. Postoperative hypotony should be taken into account in patients with GAPO syndrome due to a defective fibrosis process following a trabeculectomy.