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FAQs / Loss of Vision Due to Low IOP (Hypotony)


In the last year I have had 4 retinal detachments. The retina now seems to be in good shape and well attached. Unfortunately I now have low IOP with loss of vision. The eye pressure is 5. I live in mexico and seem to have run out of specialist to assist me. I have been told that a glaucoma specialist is a good place to start because of their familiarity with IOP issues. Do you have any thoughts about this. Do you treat low IOP or know someone who specializes in treating this condition.



Dear ******,

I’m sorry to hear about your loss of vision. Low IOP (hypotony) can lead to a condition called hypotony maculopathy that can result in loss of vision. Hypotony is actually more challenging to treat than high IOP. We have many ways to bring down high IOP but few to deal with hypotony. Those that do work tend to be focused on revising prior glaucoma surgeries. Hypotony after retinal surgeries tend to be even less responsive to treatment.

Unfortunately, I cannot offer any advice without seeing in-person what might be causing this condition. Even with an exam it is unlikely that I would have much to offer you beyond what your doctors have already tried. If, however, you would like to set up a consultation with me I have copied my nurse, Ana, on this email. She can help you set up the appointment and arrange for obtaining copies of your prior records. I would need to see what attempts have already been made to treat your hypotony (such as topical steroid treatment).


Warm regards,
David Richardson, MD

Date: March 13, 2014


Posted in: Loss Of Vision [Others]

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