Reversal of hypotony maculopathy by transconjunctival flap suturing: A case report

Abstract

Purpose: To report a case of reversal of hypotony maculopathy after phacotrabeculectomy by transconjunctival flap suturing and anterior chamber reformation. Methods: A 61-year-old male with primary open angle glaucoma on maximal medical treatment underwent uneventful phacotrabeculectomy. The patient developed 360 degrees choroidal detachment and hypotony maculopathy following suturolysis at one month. Considering persistent choroidal detachment even after failure of conservative management, the patient underwent anterior chamber reformation and transconjunctival flap suturing. Postoperatively, visual acuity improved and anterior chamber was well formed with complete resolution of choroidal detachment. Conclusion: Adequate and timely surgical intervention can salvage vision with good outcomes in postoperative hypotony following trabeculectomy.