Usha Tejaswini S, Sivakumar Priya, Upadhyaya Swati, Venkatesh Rengaraj
Department of Glaucoma, Aravind Eye Care, Puducherry, India.
Department of Neuro Ophthalmology and Low Vision Services, Aravind Eye Care, Puducherry, India.
Indian J Ophthalmol. 2020 Aug;68(8):1683-1685. doi: 10.4103/ijo.IJO_2407_19.
We report a rare case of dilated episcleral veins with unilateral secondary open-angle glaucoma. Our case highlights the possible differentials to be considered and the systematic investigations to be done while ruling out the etiologies. Radius-Maumenee syndrome is a diagnosis of exclusion. Raised IOP can remain refractory to the medical therapy and conventional trabeculectomy carries higher risk of complications. Here, we discuss the choice of surgical treatment and its implications on management of this secondary open-angle glaucoma.
我们报告了一例罕见的伴有单侧继发性开角型青光眼的巩膜表层静脉扩张病例。我们的病例突出了在排除病因时需要考虑的可能鉴别诊断以及应进行的系统检查。拉迪厄斯 - 马梅内综合征是一种排除性诊断。眼压升高可能对药物治疗无效,传统小梁切除术并发症风险更高。在此,我们讨论手术治疗的选择及其对这种继发性开角型青光眼治疗的影响。