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A 78-year-old white man with vascular disease developed ocular hypotony, bullous ciliochoroidal detachments, and suprachoroidal haemorrhage, secondary to medical treatment with acetazolamide and betaxolol, which resolved on withdrawal of these medications. This phenomenon does not appear to have been described in patients without prior intraocular surgery. It is likely that a compromised ciliary vasculature may result in increased sensitivity to aqueous suppressants, leading to profound hypotony, choroidal detachments, and haemorrhage.
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