Management of a Patient with Orbital Varices, Visual Loss, and Ipsilateral Glaucoma

Abstract

SUMMARY A man with congenital left orbital varices developed progressive ipsilateral visual loss beginning at age 62. Work-up demonstrated elevated intraocular pressure, decreased outflow facility, and mildly elevated episcleral venous pressure in the affected eye. Initiation of adequate glaucoma treatment was associated with interruption of declining visual acuity and with expansion of the constricted visual field. Medical control of coexisting glaucoma should be attempted prior to consideration of surgical intervention in any patient with visual loss and an ipsilateral orbital varix.

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

“…Proptosis that increases with Valsalva maneuver could suggest orbital varices. However, glaucoma in these cases is uncommon 52 …”

“…However, glaucoma in these cases is uncommon. 52 Postoperative cystoid macular oedema was reported in 3 eyes. None of these patients had diabetes or took prostaglandins before the surgical intervention.…”