Elevated episcleral venous pressure and its implications: A case of Radius–Maumenee syndrome

Abstract

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.

Keywords

• carbon dioxide laser-assisted sclerectomy surgery
• idiopathic elevated episcleral venous pressure
• nonpenetrating deep sclerectomy
• radius–maumenee syndrome
• sclera patch grafting