A 38-year-old myopic male presented with decreased vision in his left eye following glaucoma surgery with mitomycin C. He was diagnosed with hypotony maculopathy based on clinical findings of low intraocular pressure and macular folds. His vision improved to 20/40 after revision of the scleral flap to increase intraocular pressure. Hypotony maculopathy is a known complication of glaucoma surgery using antimetabolites like mitomycin C and can cause permanent vision loss if not addressed.

1. New England Eye Center Grand Rounds Ihuoma U. Alozie-Uddoh, M.D. April 26, 2001

7. Figure 1. Visual fields photographs of Right and Left Eyes

8. Figure 2. Red Free Photographs of Right and Left Eyes

9. Figure 3. Fluorescein angiography of Right and Left Eyes. 0:22 0:51 8:44 8:57