Cymbor Michael, Knapp Eric, Carlin Fred
Nittany Eye Associates, State College, Oxford, PA 16801, USA.
Optom Vis Sci. 2013 Jul;90(7):e213-7. doi: 10.1097/OPX.0b013e31829689a6.
Idiopathic elevated episcleral venous pressure (IEEVP) is a rare condition that can lead to glaucoma, which can be difficult to manage. This case report aims to educate clinicians on the importance of considering IEEVP in the differential diagnosis of elevated intraocular pressure (IOP) in the presence of engorged episcleral veins.
We describe a patient who presented to the office with high IOPs in the presence of engorged episcleral veins. We diagnosed the patient with glaucoma and referred the patient to a glaucoma specialist. The elevated IOP became difficult to manage medically, and the patient underwent a trabeculectomy in the right eye. We eventually diagnosed the patient with IEEVP.
Although rare, IEEVP should be considered when the patient presents with elevated IOP in the presence of engorged episcleral veins. Idiopathic elevated episcleral venous pressure is often difficult to manage both medically and surgically.
特发性巩膜上静脉压升高（IEEVP）是一种罕见疾病，可导致青光眼，且难以治疗。本病例报告旨在让临床医生了解在存在巩膜静脉怒张的情况下，鉴别诊断眼压升高时考虑IEEVP的重要性。
我们描述了一名因巩膜静脉怒张而眼压升高前来就诊的患者。我们诊断该患者患有青光眼，并将其转诊给青光眼专科医生。眼压升高难以通过药物控制，该患者右眼接受了小梁切除术。我们最终诊断该患者患有IEEVP。
尽管罕见，但当患者出现巩膜静脉怒张伴眼压升高时，应考虑IEEVP。特发性巩膜上静脉压升高通常在药物和手术治疗方面都很困难。
