Hypotony Maculopathy

Hypotony maculopathy may have multiple causes; however, it most commonly develops as a complication of filtration procedures, particularly those performed with antimetabolites. A characteristic feature of this condition is the presence of chorioretinal folds in the macular region, resulting from scleral wall collapse secondary to hypotony. Additional findings on ophthalmoscopic examination may include vascular tortuosity, optic disc edema, and cystoid macular edema. The primary goal of treatment is to restore normal intraocular pressure; however, effective management requires accurate identification of the underlying cause of ocular hypotony. Prognosis largely depends on the duration of hypotony, as prolonged persistence of these changes may lead to permanent fibrosis of the retina and sclera.