Secondary Glaucoma to Venous Pressure Elevation. Radius-Maumenee Syndrome

JOURNAL TITLE: Highlights of Ophthalmology

Author
1. Rodolfo A. Pérez Grossmann
2. Rodolfo A. Pérez Simons
3. Luis A. Villa Cabrera
ISSN
1024-6983
DOI
10.5005/hoe-10101-49402
Volume
49
Issue
4ENG
Publishing Year
2021
Pages
11
Author Affiliations
    1. Medical Director at Instituto de Glaucoma y Catarata, Lima - Perú Miraflores. Lima - Perú
    1. Glaucoma and Cataract Institute Lima, Perú
    1. Instituto de Glaucoma y Catarata, Lima - Perú Miraflores. Lima - Perú Student at “Universidad Científica del Sur”, Lima - Perú
  • Article keywords
    Glaucoma, secondary glaucoma, episcleral venous pressure, Radius-Maumenee

    Abstract

    Objective: To present a case of secondary glaucoma to increased venous pressure in a patient with Radius- Maumenee Syndrome. Background: A patient with no family history of glaucoma arrives with open-angle glaucoma and mild sporadic episodes of ocular congestion in the affected eye. Case Description: Female patient, presented with increased intraocular pressure (IOP) in the right eye (RE) (26 mm Hg) with prominence of the episcleral vessels, open angle and in the gonioscopy the presence of blood in Schlemm\'s canal with increased the excavation of the optic nerve (0.7/0.6); the left eye (LE) is within normal limits. Conclusion: A case of secondary glaucoma is presented to increased episcleral venous pressure or Radius-Maumenee syndrome. Clinical Importance: The clinical case shows us the importance of venous pressure in the development of glaucoma. This alteration in the venous flow in this particular case highlights the influence of the collector channels and the anastomoses that it may have with the intrascleral venous plexuses and later of the aqueous veins with the subconjunctival and episcleral venous plexuses in the development of glaucoma.

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