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This video provides a comprehensive overview of hypotony maculopathy, including its pathophysiology, clinical presentation and management. It focuses on the mechanisms of ocular hypotony, macular changes and their implications for visual function. Description This video offers an in-depth explanation of hypotony maculopathy, a potentially vision-threatening condition associated with sustained ocular hypotony. The topic is addressed from a clinical and pathophysiological perspective, with emphasis on diagnosis, structural changes and therapeutic considerations. Hypotony maculopathy is characterized by macular folds, chorioretinal changes and visual distortion resulting from low intraocular pressure. The condition is most commonly observed after glaucoma surgery, ocular trauma or in situations associated with excessive aqueous outflow. The video reviews the underlying mechanisms of ocular hypotony, including scleral wall compliance, choroidal thickening and altered transretinal pressure gradients, and explains how these factors contribute to macular deformation and visual impairment. Clinical findings are discussed in detail, including fundoscopic features, optical coherence tomography (OCT) characteristics and functional consequences. The importance of early recognition is emphasized, as prolonged hypotony may lead to irreversible structural damage and persistent visual loss. Finally, management strategies are reviewed, focusing on the principles of restoring intraocular pressure, addressing the underlying cause and preventing long-term macular damage. This video is intended for ophthalmologists, residents and eye care professionals involved in the diagnosis and management of hypotony-related complications. ⭐ HIGHLIGHTS / KEY POINTS Definition and clinical significance of hypotony maculopathy Mechanisms of ocular hypotony and macular deformation Fundoscopic and OCT findings Visual symptoms and functional impact Differential diagnosis of macular folds Relationship with glaucoma surgery and postoperative hypotony Principles of management and prognosis Authors: Pau Marjalizo, Josep Torras, Sonia Marías, Jordi Izquierdo, Marc Figueras, Néstor Ventura i Marta Pazos Affiliations: Hospital Clinic of Barcelona University of Barcelona This video is part of the Visus series on retinal and macular disorders.