Idiopathic elevated episcleral venous pressure in a teenager.
Deep sclerectomy
Idiopathic dilated episcleral veins
Idiopathic elevated episcleral venous pressure
Radius-Maumenee syndrome
Schlemm canal
Viscocanalostomy
Journal
American journal of ophthalmology case reports
ISSN: 2451-9936
Titre abrégé: Am J Ophthalmol Case Rep
Pays: United States
ID NLM: 101679941
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
received:
14
02
2020
revised:
09
04
2020
accepted:
12
04
2020
entrez:
24
4
2020
pubmed:
24
4
2020
medline:
24
4
2020
Statut:
epublish
Résumé
To report a case of unilateral idiopathic elevated episcleral venous pressure (IEEVP) in a 15-year-old patient. We reviewed and summarized published case reports of IEEVP to determine how to manage this challenging and rare condition. A 15-year-old Caucasian male presented with elevated intraocular pressures (IOP), blood in Schlemm canal in the left eye, and asymmetric cupping with corresponding glaucomatous findings on testing. We diagnosed the patient with IEEVP and describe successful surgical intervention with deep sclerectomy and viscocanalostomy. IEEVP is a diagnosis of exclusion and based on clinical findings of dilated episcleral veins, blood in Schlemm canal and glaucomatous changes. If glaucomatous progression occurs with medication, filtration surgery is usually required, and most patients have good results in the literature. Care should be taken to prevent post-operative hypotony and serous choroidal detachment.
Identifiants
pubmed: 32322757
doi: 10.1016/j.ajoc.2020.100712
pii: S2451-9936(20)30070-0
pii: 100712
pmc: PMC7171185
doi:
Types de publication
Case Reports
Langues
eng
Pagination
100712Informations de copyright
© 2020 The Authors.
Déclaration de conflit d'intérêts
The following authors have no financial disclosures: CQS, CMM, TCC.
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