Hypotony Maculopathy After Trabeculectomy in a Patient With GAPO Syndrome

Genç S., Güler E., Çakır H., Şalkacı O., Esen F.

BEYOGLU EYE JOURNAL, vol.4, no.1, pp.51-53, 2019 (National Refreed University Journal)

  • Publication Type: Article / Case Report
  • Volume: 4 Issue: 1
  • Publication Date: 2019
  • Title of Journal : BEYOGLU EYE JOURNAL
  • Page Numbers: pp.51-53


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.