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Case report
Hypotony maculopathy: a surgeon’s nightmare
  1. Saswati Sen,
  2. Sucheta Parija and
  3. Bhagabat Nayak
  1. Ophthalmology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
  1. Correspondence to Dr Sucheta Parija; suchetaparija{at}


A 14-year-old myopic male patient diagnosed as steroid-induced glaucoma and cataract elsewhere presented to the eye opd with painless and progressive diminution of vision in the right eye (oculus dexter (OD)) for last 6 months. Phacotrabeculectomy was already done in the left eye (oculus sinister (OS)) 1 year ago and he was on topical latanoprost e/d-H.S in OD and brimonidine e/d-BD and dorzolamide e/d-TDS in both eyes (oculus uterque (OU)) postsurgery. Uneventful phacotrabeculectomy was performed in the right eye under 300 mL intravenous injection mannitol. He developed hypotony maculopathy postsurgery which was managed conservatively.

  • eye
  • drug therapy related to surgery
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  • Contributors SS: preparation of manuscript, editing, literature search. SP: editing, review, analytical inputs, guarantor. BN: review, design.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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