Talusan E D, Fishbein S L, Schwartz B
Ophthalmology. 1983 Mar;90(3):257-65. doi: 10.1016/s0161-6420(83)34565-6.
Six unilateral cases and one bilateral case of dilated episcleral veins with elevated intraocular pressure without exophthalmos are described. Episcleral venous pressure measured on six unilateral cases showed increased pressure in the affected eye compared to the other eye and to normal controls. Two eyes had typical glaucomatous disc and visual field changes. Five had more optic disc cupping and pallor in the eye with the elevated episcleral venous pressure and intraocular pressure. A thorough work-up, including orbital venography in two unilateral cases, carotid arteriography in one and episcleral fluorescein angiography in five cases, failed to show venous obstruction or direct arterio-venous communications. The different diagnoses are discussed. This condition should be considered in unilateral or asymmetrical intraocular pressure elevation and in those patients with chronically red eyes without discharge.
本文描述了6例单侧和1例双侧巩膜静脉扩张伴眼压升高且无眼球突出的病例。对6例单侧病例测量的巩膜静脉压显示，患眼压力较对侧眼及正常对照升高。2只眼有典型的青光眼性视盘和视野改变。5只眼在巩膜静脉压和眼压升高的眼中有更多的视盘杯状凹陷和苍白。全面检查，包括2例单侧病例的眼眶静脉造影、1例颈动脉造影和5例巩膜荧光素血管造影，均未显示静脉阻塞或直接动静脉交通。讨论了不同的诊断。在单侧或不对称眼压升高以及慢性眼红无分泌物的患者中应考虑这种情况。
