Hypotony Maculopathy After Trabeculectomy in a Patient With GAPO Syndrome.

Abstract

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.

• Authors: Selim Genc, Emre Guler, Hanefi Cakir, Osman Salkaci, Fehim Esen
• Journal: Beyoglu eye journal (Beyoglu Eye J) Vol. 4 Issue 1 Pg. 51-53 ( 2019) ISSN: 2587-0394 [Electronic] Turkey
• PMID: 35187433 (Publication Type: Case Reports)
• Copyright: Copyright: © 2019 by Beyoglu Eye Training and Research Hospital.