Delayed, recurrent hypotonous maculopathy following aqueous suppressant therapy in pseudophakia

An unusual syndrome consisting of late-onset hypotony and ciliochoroidal detachment has been described following glaucoma filtration surgery, often on a recurrent basis.^1-3 Although it was initially postulated that the drop in pressure was directly related to complications of the procedure itself, it has become increasingly evident that one of the pathophysiologic links may be the use of pharmacologic aqueous humour suppressants.¹ This concept may help explain the findings in a patient with recurrent hypotony with choroidal folds following pharmacologic treatment for elevated intraocular pressure (IOP) many years after cataract surgery.