de Keizer R J
Doc Ophthalmol. 1983 Dec 15;56(1-2):195-202. doi: 10.1007/BF00154729.
Secondary vascular glaucoma is increased intraocular pressure due to venous obstruction in or outside the eye. Its main aetiological features are lesions of the vortex veins and the anterior ciliary veins and orbital and cavernous sinus obstruction; increase in orbital volume, tenonitis/scleritis posterior and idiopathically elevated episcleral venous pressure are described. In 8 out of 148 patients with exophthalmos of various aetiology an abnormal difference in intraocular pressure between the eyes was found, but only 3 of them (2%) had glaucoma; this frequency equals the glaucoma frequency in an average population. In 3 out of 10 patients with tenonitis/scleritis posterior an elevated intraocular pressure was found, in contrast with the normal intraocular pressure found in 20 patients with orbital pseudotumour. Six patients with secondary vascular glaucoma due to elevated episcleral venous pressure of unknown origin were examined; 3 of them had unilateral, the other 3 bilateral, typical lesions. All were female and above the age of 40 years. In contrast with the findings in other investigations, in 3 of these 6 patients orbital neuro-ophthalmological lesions were found.
继发性血管性青光眼是由于眼内或眼外静脉阻塞导致的眼压升高。其主要病因学特征为涡状静脉和睫状前静脉病变以及眼眶和海绵窦阻塞；还描述了眼眶容积增加、后部巩膜外层炎/巩膜炎以及特发性巩膜静脉压升高。在148例各种病因导致突眼的患者中，有8例两眼眼压存在异常差异，但其中只有3例（2%）患有青光眼；该频率与普通人群中的青光眼发病率相当。在10例后部巩膜外层炎/巩膜炎患者中有3例眼压升高，与之形成对比的是，20例眼眶假瘤患者眼压正常。对6例因不明原因巩膜静脉压升高导致继发性血管性青光眼的患者进行了检查；其中3例有单侧典型病变，另外3例为双侧典型病变。所有患者均为女性且年龄在40岁以上。与其他研究结果不同的是，在这6例患者中有3例发现了眼眶神经眼科病变。
