top of page


Case 42

Patient Presentation: A 54-year-old male presented for his 1-week follow-up appointment after undergoing left eye trabeculectomy surgery. On exam, visual acuity is 20/20 OD, 20/60 OS. The anterior chamber appears deep and the filtering bleb appears elevated, diffuse and is Seidel negative. IOP is 4 mmHg OS. OCT macula OS is shown below:

Retina 42-1.png

Question: What is the main abnormality seen on the OCT above?

Question: What is the most likely diagnosis?

Question: What is the likely cause of hypotony maculopathy in this patient?



1. Budenz DL, Schwartz K, Gedde SJ. Occult Hypotony Maculopathy Diagnosed With Optical Coherence Tomography. Arch Ophthalmol. 2005;123(1):113–114.

2. Thomas M, Vajaranant TS, Aref AA. Hypotony Maculopathy: Clinical Presentation and Therapeutic Methods. Ophthalmol Ther. 2015;4(2):79-88.

Learning Objectives:

1. To diagnose and recognize hypotony maculopathy on OCT

2. To understand the different causes of hypotony maculopathy on OCT

3. To understand the treatment of hypotony maculopathy following filtration surgery

bottom of page