Hypotony maculopathy: a surgeon’s nightmare

A 14-year-old myopic male patient diagnosed as steroid-induced glaucoma and cataract elsewhere presented to the eye opd with painless and progressive diminution of vision in the right eye (oculus dexter (OD)) for last 6 months. Phacotrabeculectomy was already done in the left eye (oculus sinister (OS)) 1 year ago and he was on topical latanoprost e/d-H.S in OD and brimonidine e/d-BD and dorzolamide e/d-TDS in both eyes (oculus uterque (OU)) postsurgery. Uneventful phacotrabeculectomy was performed in the right eye under 300 mL intravenous injection mannitol. He developed hypotony maculopathy postsurgery which was managed conservatively.