Hypotony maculopathy in a case of diabetes insipidus

I. Takasu, Toshihiko Matsuo, K. Yamaguchi, Mio Hosokawa, N. Matsuo

Research output: Contribution to journalArticle

Abstract

A 79-year-old female presented with blurring in her right eye of two week's duration. She had received cataract surgery with intraocular lens implantation in the same eye 8 months before. She had also been diagnosed as insulinoma followed by splenectomy and partial pancreatectomy 6 years before. Diabetes insipidus had been present since one year before. The visual acuity in her right eye was 0.2. The intraocular pressure (IOP) was 0 mmHg. Funduscopy showed choroidal folds and macular edema, leading to the diagnosis of hypotony maculopathy. The left eye was normal except for ocular hypony with IOP of 8 mmHg. After start of systemic vasopressin, the urine volume decreased to normal level. The IOP was 12 mmHg and the visual acuity in her right eye was 0.5 at day 18 of treatment. It appeared that the ocular hypotension was initiated by low serum osmolarity due to diabetes insipidus and was triggered by cataract surgery.

Original languageEnglish
Pages (from-to)675-679
Number of pages5
JournalJapanese Journal of Clinical Ophthalmology
Volume52
Issue number4
Publication statusPublished - 1998

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Diabetes Insipidus
Intraocular Pressure
Cataract
Visual Acuity
Ocular Hypotension
Insulinoma
Pancreatectomy
Intraocular Lens Implantation
Macular Edema
Splenectomy
Vasopressins
Osmolar Concentration
Urine
Serum

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Hypotony maculopathy in a case of diabetes insipidus. / Takasu, I.; Matsuo, Toshihiko; Yamaguchi, K.; Hosokawa, Mio; Matsuo, N.

In: Japanese Journal of Clinical Ophthalmology, Vol. 52, No. 4, 1998, p. 675-679.

Research output: Contribution to journalArticle

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