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Abstract #61339 Published in IGR 17-1
OUTER RETINAL ATROPHY ON SPECTRAL DOMAIN OPTICAL COHERENCE TOMOGRAPHY AFTER RESOLUTION OF GLAUCOMA SURGERY-ASSOCIATED HYPOTONY MACULOPATHY
Afshar AR; Hemarat K; Liu W; Wang S; Stewart JMRetinal cases & brief reports 2016; 10: 96-99
PURPOSE: To report two cases of persistent central vision loss after resolution of filtration surgery-associated hypotony, corresponding with foveal outer retinal atrophy on spectral domain optical coherence tomography. METHODS: Retrospective observational case series. A retrospective chart review was conducted of two patients with persistent vision loss after normalization of intraocular pressure and resolution of glaucoma surgery-associated hypotony maculopathy. RESULTS: Several months after glaucoma surgery and resolution of hypotony, both patients suffered persistent vision loss and new foveal photoreceptor loss on spectral domain optical coherence tomography. CONCLUSION: This is the first case series demonstrating foveal outer retinal atrophy on spectral domain optical coherence tomography after resolution of glaucoma surgery-associated hypotony maculopathy. Both patients had previous uveitis that was controlled at the time of hypotony. Eyes with previous hypotony and compromised ciliary body function may be at greater risk of photoreceptor damage.
*Department of Ophthalmology, University of California, San Francisco, San Francisco, California; †The Third Affiliated Hospital, Nanchang University, Nanchang, China; and ‡The Second Affiliated Hospital, Harbin Medical University, Harbin, China.
Full articleClassification:
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
6.9.2.2 Posterior (Part of: 6 Clinical examination methods > 6.9 Computerized image analysis > 6.9.2 Optical coherence tomography)
