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Klin Monbl Augenheilkd 1997; 211(8): 131-132
DOI: 10.1055/s-2008-1035110
Diagnostisches Forum

© 1997 F. Enke Verlag Stuttgart

Idiopathische episklerale Venenstauung mit sekundärem Offenwinkelglaukom (Radius-Maumenee-Syndrom)

Dilated Episcleral Vessels and Open-Angle Glaucoma (Radius-Maumenee Syndrome)Michael J.M. Groh, Michael Küchle
  • Augenklinik mit Poliklinik der Universität Erlangen-Nürnberg (Vorstand: Prof. Dr. G. O. H. Naumann)
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Publication History

Manuskript eingereicht am 12.02.1997

in der vorliegenden Form angenommen am 19.03.1997

Publication Date:
08 February 2008 (online)

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Summary

Background Dilated episcleral vessels may be observed in patients with orbital tumors, carotid-cavernous-sinus fistula and other orbital obstructive lesions. As an idiopathic phenomenon dilated episcleral vessels may be associated with secondary open-angle glaucoma.

Patient We report on a 59-year-old patient with a history of secondary open-angle glaucoma and dilated episcleral vessels for 5 years (Radius-Maumenee syndrome).

Results In these patients, the pressure of the episcleral vessels is elevated and therefore the outflow from Schlemm's Canal is reduced. This leads to elevated intraocular pressure and secondary glaucoma.

Conclusion Treatment options in this condition include medication to lower the intraocular pressure or microsurgical sinusotomy to reduce the pressure-gradient from Schlemm's Canal to the episcleral vessels.

Schlüsselwörter

Idiopathische episklerale Venenstauung - Radius-Maumenee-Syndrom - sekundäres Offenwinkelglaukom - Sinusotomie

Key words

idiopathic episcleral vessel-dilatation - Radius-Maumenee syndrome - secondary open-angle glaucoma - sinusotomy

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