Hypotonic maculopathy is a rare but serious condition that affects the macula, the central portion of the retina responsible for sharp, detailed vision. It occurs when there is a decrease in intraocular pressure (IOP), the pressure inside the eye, leading to swelling and damage in the macula.

Hypotonic maculopathy is most associated with ocular surgery, particularly in cases where there is a sudden drop in IOP. It can also occur in patients with underlying ocular conditions such as glaucoma, uveitis, or trauma.

Symptoms of hypotonic maculopathy can include blurred or distorted vision, central scotoma (a blind spot in the Center of the visual field), and metamorphopsia (a distortion of straight lines). The severity of symptoms can vary depending on the degree of macular swelling and damage.

Diagnosis of hypotonic maculopathy typically involves a comprehensive eye exam, including a dilated fundus exam, optical coherence tomography (OCT), and fluorescein angiography. These tests can help detect macular swelling and identify any underlying ocular conditions that may be contributing to the condition.

Treatment of hypotonic maculopathy is aimed at reducing the swelling in the macula and restoring normal IOP. In cases where hypotonic maculopathy occurs after ocular surgery, treatment may involve increasing the IOP using measures such as a temporary suture or gas injection into the eye. In cases where hypotonic maculopathy is due to an underlying ocular condition, treatment may involve managing the underlying condition with medications or surgery.

Prevention of hypotonic maculopathy involves careful management of IOP during ocular surgery and close monitoring of patients with underlying ocular conditions that may increase their risk of developing the condition.

In conclusion, hypotonic maculopathy is a serious condition that can cause vision loss and other complications. Early diagnosis and treatment are crucial for minimizing the risk of permanent damage to the macula. Patients who experience symptoms of hypotonic maculopathy should seek prompt evaluation by an eye care professional.

At The Eye Center- Dr. Mahnaz Naveed Shah & Associates our team of eight ophthalmology subspecialists/ eye specialists, eye surgeons who are considered amongst the very best eye specialists in Karachi and in Pakistan, have the diagnostic and treatment capabilities to treat from the simplest to the most complex patients. We work hard to provide our patients with the best possible medical and surgical eye care, in a state of the art purpose built eye care facility. We offer the entire array of medical, laser and surgical treatments to help provide patients the best possible care in the most efficient, safe and ethical manner.

If you need an appointment, please contact us at 03041119544 during our working hours or leave us a WhatsApp message at +923028291799 and someone will connect with you. Walk-in appointments are also available for emergencies. We can also be reached through our web portal on www.surgicaleyecenter.org

Image Credit EyeWiki

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