Non-Penetrating Deep Sclerectomy in Unilateral Open-Angle Glaucoma Secondary to Idiopathic Dilated Episcleral Veins

Güven, Dilek; Karakurt, Ahmet; Zıraman, İpek; Hasıripi, Hikmet

doi:10.1177/112067210201200113

Cited by 11 publications

(11 citation statements)

References 5 publications

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“…A shift in blood volume and vascular pressure could explain the regression of conjunctival and episcleral vein congestion and the increase in the blood flow velocities in the central retinal vein. Similar haemodynamic changes have not been observed in previous reports [3,6].…”

Section: Therapy and Outcomesupporting

confidence: 91%

Retrobulbar Blood Flow in Idiopathic Dilated Episcleral Veins and Glaucoma

Grieshaber

Dubler

Knodel

et al. 2007

Klin Monatsbl Augenheilkd

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Section: Therapy and Outcomesupporting

confidence: 91%

Retrobulbar Blood Flow in Idiopathic Dilated Episcleral Veins and Glaucoma

Grieshaber

Dubler

Knodel

et al. 2007

Klin Monatsbl Augenheilkd

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“…It is important to note that 18,19,20,21 even when the IOP is controlled by surgery, dilation and tortuosity of episcleral veins may or may not resolve as 9,22 was seen in our patient.…”

Section: Discussionmentioning

confidence: 62%

Unilateral Idiopathic Dilated Episcleral Vein with Secondary Open Angle Glaucoma (Radius–Maumenee Syndrome) in an African – A case report and literature review

Otulana¹,

Onabolu²,

Fafiolu³

2008

Nigerian Journal of Ophthalmology

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A 69-year-old woman was seen in the eye clinic of the Olabisi Onabanjo University Teaching Hospital [OOUTH], Sagamu, south-west Nigeria, with irritation in the right eye due to a vascular nasal pterygium, but asymptomatic in her left eye. Examination revealed dilated and tortuous conjunctival and episcleral vessels in her left eye with no apparent cause. She later developed secondary glaucoma in that eye. A diagnosis of left idiopathic dilated episcleral vein with secondary open angle glaucoma [Radius Maumenee syndrome] was made. She was treated both medically and surgically. This rare case in anAfrican woman is presented in order to highlight the possibility of secondary vascular glaucoma in a patient with chronic redness of the eye without symptoms of discomfort or allergy.

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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%

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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Non-Penetrating Deep Sclerectomy in Unilateral Open-Angle Glaucoma Secondary to Idiopathic Dilated Episcleral Veins

Abstract: NPDS may be an alternative to trabeculectomy in open-angle glaucoma secondary to dilated episcleral veins.

Cited by 11 publications

References 5 publications

Retrobulbar Blood Flow in Idiopathic Dilated Episcleral Veins and Glaucoma

Retrobulbar Blood Flow in Idiopathic Dilated Episcleral Veins and Glaucoma

Unilateral Idiopathic Dilated Episcleral Vein with Secondary Open Angle Glaucoma (Radius–Maumenee Syndrome) in an African – A case report and literature review

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

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