Maculopathy due to hypotony: A diagnostic challenge.

M M Valentín-Pastrana Aguilar, B Sandoval Cortés, S Durán Poveda, L Guerrero Altares, B García Sandoval
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引用次数: 0

Abstract

Hypotony maculopathy is a potential complication of glaucoma filtering surgery, clinically relevant as it can cause vision loss. Classically, it produces choroidal folds, vascular tortuosity, and optic disc edema. However, in optical coherence tomography (OCT), it may also present as intraretinal cysts (IRC). We present the case of a patient who, 10 years after undergoing glaucoma surgery, developed ocular hypotony, IRC, and decreased visual acuity (VA). Given the patient's history of diabetes mellitus, it was initially diagnosed as diabetic macular edema (DME), which delayed appropriate treatment. This led to worsening corneal decompensation, ultimately requiring a corneal transplant in the form of Descemet membrane endothelial keratoplasty (DMEK).

低眼压引起的黄斑病变:一个诊断挑战。
低眼压黄斑病变是青光眼滤过手术的潜在并发症,临床相关,因为它可导致视力丧失。典型地,它产生脉络膜褶皱、血管扭曲和视盘水肿。然而,在光学相干断层扫描(OCT)中,它也可能表现为视网膜内囊肿(IRC)。我们报告一例患者,在接受青光眼手术10年后,出现低眼压、IRC和视力下降(VA)。考虑到患者的糖尿病病史,最初诊断为糖尿病性黄斑水肿(DME),延误了适当的治疗。这导致角膜失代偿恶化,最终需要以Descemet膜内皮角膜移植术(DMEK)的形式进行角膜移植。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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