Delayed Correction of Hypotony Maculopathy in a Patient with Glaucoma and Thyroid-Related Orbitopathy.
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2015-09
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Hypotony maculopathy is a condition that may result in visual deterioration from choroidal folds or optic disc edema. Optic disc edema can result from altered translaminar pressure gradients (lowered intraocular pressure, increased cerebrospinal fluid pressure, or increased orbital pressure). We report a case of bilateral optic disc edema in a patient with glaucoma and thyroid-related orbitopathy. The patient's disc edema was initially presumed to be secondary to her orbitopathy, but persisted after bilateral orbital decompression. Ultimately, disc edema and choroidal folds in the right eye resolved after trabeculectomy revision and an increase in intraocular pressure. This case serves as a reminder of the causes of optic disc edema and demonstrates delayed reversal of hypotony maculopathy.
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Gupta, Divakar, Mark Slabaugh and Courtney E Francis (2015). Delayed Correction of Hypotony Maculopathy in a Patient with Glaucoma and Thyroid-Related Orbitopathy. Case Rep Ophthalmol, 6(3). pp. 356–360. 10.1159/000441121 Retrieved from https://hdl.handle.net/10161/16166.
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Divakar Gupta
Divakar Gupta, MD is a board certified, fellowship-trained ophthalmologist specializing in the medical and surgical treatment of glaucoma and cataracts. He performs both traditional glaucoma surgery such as trabeculectomy and glaucoma tube shunts, as well as cutting-edge Minimally Invasive Glaucoma Surgery (MIGS). He is trained in the latest surgical techniques of cataract and laser-assisted cataract surgery. Dr. Gupta also offers premium intraocular lenses for cataract surgery patients interested in astigmatic correction and/or presbyopia correction.
He has a clinical and research interest in early diagnosis of glaucoma and improving treatment outcomes. His research focuses on novel ways to use optical imaging and technology to identify and manage glaucoma. Dr. Gupta also spends time teaching and lecturing trainees and eye professionals at the Duke Eye Center and in the community. When he is not working, he spends his time watching Duke Basketball, playing tennis, and enjoys cooking.
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