Idiopathic elevated episcleral venous pressure in a teenager

Sun, Catherine Q.; Medert, Charles M.; Chang, Ta Chen

doi:10.1016/j.ajoc.2020.100712

Cited by 9 publications

(22 citation statements)

References 24 publications

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“…Described complications for filtrating surgery in patients with Radius‐Maumenee syndrome suggested that a less invasive method could be a better option. 11 , 13 A previously published technique for implantation of the subconjunctival gel stent was applied without any intraoperative complications. 14 On the first post‐surgical day, the IOP was 10 mm Hg in the OS off‐glaucoma medications, and the subconjunctival gel stent was in the right position (Figure 5 ).…”

Section: Resultsmentioning

confidence: 99%

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Radius‐Maumenee syndrome: A case series with a long‐term follow‐up

Elksne

Steiner

Hohensinn

et al. 2023

Clinical Case Reports

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The aim of the case series is to highlight the surgical challenges experienced like failed intervention, choroidal effusion, a postoperative cystoid macular oedema, and describe treatment options for Radius‐Maumenee syndrome. Authors reported on 3 bilateral cases of Radius‐Maumenee syndrome which underwent medical treatment, trabeculectomy with Mitomycin C, implantation with XEN45, Ahmed glaucoma valve, Baerveldt glaucoma implant, and cyclophotocoagulation.

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Section: Resultsmentioning

confidence: 99%

“…The syndrome is also called “idiopathic elevated episcleral venous pressure” or “idiopathic dilated episcleral veins.” The youngest patient diagnosed was only 15 years old. 11 Even today, the etiology of Radius‐Maumenee syndrome is unknown. Only several hypotheses about its development have been suggested.…”

Section: Discussionmentioning

confidence: 99%

Radius‐Maumenee syndrome: A case series with a long‐term follow‐up

Elksne

Steiner

Hohensinn

et al. 2023

Clinical Case Reports

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“…The majority of the cases requiring surgery underwent trabeculectomy with or without antimetabolites, and, in a few cases, non-penetrating deep sclerectomies have been reported [ 4 , 18 ]. Both surgeries allow good IOP control.…”

Section: Discussionmentioning

confidence: 99%

“…Other conditions that lead to venous obstruction include retrobulbar tumours, cavernous sinus thrombosis, thyroid orbitopathy, and superior vena cava syndrome [ 1 , 2 ]. Idiopathic EEVP (IEEVP) or Radius-Maumenee syndrome is a rare entity and should be considered a diagnosis of exclusion [ 3 , 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Bilateral Episcleral Corkscrew Vessels: Expedition into the Unknown – Case Report

Madeira

Alves

Godinho

et al. 2022

Case Rep Ophthalmol

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We aim to report a case of a middle-aged woman with bilateral idiopathic elevated episcleral venous pressure (IEEVP) and its difficulties in the diagnostic approach. Particularly in this case, the atypical feature of ocular hypertension without glaucomatous optic nerve damage may be misleading. We present a 66-year-old woman with longstanding bilateral “red eyes.” Clinical findings included bilateral episcleral vessel engorgement and tortuosity and raised intraocular pressure with open iridocorneal angles. Despite ocular hypertension, glaucomatous neuropathy was absent and confirmed by normal structural (optical coherence tomography) and functional (standard automated perimetry) tests. The systemic workup was unremarkable. Magnetic resonance angiography showed bilateral dilated superior ophthalmic veins. Cerebral digital subtraction angiography was requested, and no carotid-cavernous fistula (or other significant vascular findings) was identified. The diagnosis of IEEVP was assumed. In conclusion, our case highlights the systematic investigation necessary in cases of bilateral episcleral vessel engorgement and tortuosity and the possible differential diagnosis to be considered to rule out life-threatening causes of elevated episcleral venous pressure. It is important for clinicians to be aware of IEEVP even in patients with atypical features that despite significative ocular hypertension had no glaucomatous damage.

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“…Cyclodestructive procedures require relatively higher energy for adequate ciliary body shut-down and this, in turn, may result in significant postoperative inflammation and macular edema in a seeing eye. [ 9 ]…”

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confidence: 99%

Commentary: Idiopathic elevated episcleral venous pressure - Tension with twisted tortuousity

Ichhpujani

2022

Indian Journal of Ophthalmology

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Idiopathic elevated episcleral venous pressure in a teenager

Cited by 9 publications

References 24 publications

Radius‐Maumenee syndrome: A case series with a long‐term follow‐up

Radius‐Maumenee syndrome: A case series with a long‐term follow‐up

Bilateral Episcleral Corkscrew Vessels: Expedition into the Unknown – Case Report

Commentary: Idiopathic elevated episcleral venous pressure - Tension with twisted tortuousity

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