Bouaziz K, Aragno V, Batras M, Baudouin C, Labbé A
Service d'ophtalmologie, hôpital Ambroise-Paré, AP-HP, 9, avenue Charles-de-Gaulle, 92100 Boulogne-Billancourt, France; IHU FOReSIGHT, université de Versailles Saint-Quentin-en-Yvelines, Paris, France.
Service d'ophtalmologie, hôpital Ambroise-Paré, AP-HP, 9, avenue Charles-de-Gaulle, 92100 Boulogne-Billancourt, France; IHU FOReSIGHT, université de Versailles Saint-Quentin-en-Yvelines, Paris, France; Service d'ophtalmologie 3, centre hospitalier national d'ophtalmologie des Quinze-Vingts, 28, rue de Charenton, 75012 Paris, France.
J Fr Ophtalmol. 2020 Nov;43(9):837-841. doi: 10.1016/j.jfo.2020.01.024. Epub 2020 Sep 15.
Radius-Maumenee syndrome is a rare cause of severe secondary open-angle glaucoma. The ocular hypertension is due to episcleral venous hypertension. This syndrome consists of open angle glaucoma and episcleral venous dilatation without orbital or systemic abnormalities. It is diagnosis of exclusion after ruling out carotid-cavernous fistula, thyroid orbitopathy and an invasive orbital process that might explain the elevated episcleral venous pressure. Treatment begins with glaucoma eyedrops and, in case of failure, filtering surgery. Uveal effusion syndrome and postoperative choroidal detachment are frequent complications of filtering surgery in patients with this syndrome. We present the case report of a 59-year-old woman with Radius-Maumenee syndrome.
拉迪厄斯-马梅内综合征是严重继发性开角型青光眼的罕见病因。眼压升高是由于巩膜静脉高压所致。该综合征包括开角型青光眼和巩膜静脉扩张，而无眼眶或全身异常。在排除可能解释巩膜静脉压升高的颈动脉海绵窦瘘、甲状腺眼眶病和眼眶侵袭性病变后，方可作出排除性诊断。治疗始于使用青光眼眼药水，若治疗失败，则进行滤过性手术。葡萄膜渗漏综合征和术后脉络膜脱离是该综合征患者滤过性手术常见的并发症。我们报告一例59岁患有拉迪厄斯-马梅内综合征的女性病例。
