Japanese

Hypotony maculopathy in a case of diabetes insipidus Ippei Takasu 1 , Toshihiko Matsuo 1 , Kazuo Yamaguchi 2 , Mitsuto Hosokawa 3 , Nobuhiko Matsuo 1 1Dept of Ophthalmol, Okayama Univ Med Sch 2Dept of Internal Med, Tonosho Central Hosp 3Dept of Ophthalmol, Tonosho Central Hosp pp.675-679
Published Date 1998/4/15
DOI https://doi.org/10.11477/mf.1410905833
  • Abstract
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A 79-year-old female presented with blurring in her rignt 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 panreatectomy 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.


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