ISSN: 2459-1777 | E-ISSN 2587-0394
Volume : 4 Issue : 1 Year : 2024
Hypotony Maculopathy After Trabeculectomy in a Patient With GAPO Syndrome [Beyoglu Eye J]
Beyoglu Eye J. 2019; 4(1): 51-53 | DOI: 10.14744/bej.2019.83007

Hypotony Maculopathy After Trabeculectomy in a Patient With GAPO Syndrome

Selim Genç1, Emre Güler2, Hanefi Cakir2, Osman Şalkacı3, Fehim Esen4
1Prof. Dr. N. Resat Belger Beyoglu Eye Training and Research Hospital, Istanbul, Turkey
2Turkiye Hospital, Eye Clinic, Istanbul, Turkey
3Department of Ophthalmology, Lutfi Kirdar Kartal Eye Training and Research Hospital, Istanbul, Turkey
4Department of Ophthalmology, Medeniyet University Faculty of Medicine, Istanbul, Turkey

This report describes a case of hypotony maculopathy developing in a patient with GAPO syndrome following a trabeculectomy with mitomycin C (MMC). A 42-year-old man with a diagnosis of GAPO syndrome underwent a trabeculectomy with an MMC application of 0.4 mg/mL for 1 minute. Intraocular pressure was measured at 6 to 8 mmHg during the first weeks after the surgery. A fundus examination then revealed macular choroidal folds, retinal vascular tortuosity, and swelling in the optic nerve. At postoperative 1 month, additional suturing of a bleb was performed; however, the hypotony continued. Postoperative hypotony should be taken into account in patients with GAPO syndrome due to a defective fibrosis process following a trabeculectomy.

Keywords: GAPO syndrome, hypotony maculopathy, mitomycin C, trabeculectomy.

Corresponding Author: Emre Güler, Türkiye
Manuscript Language: English
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