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Published on: April 24, 2020
Idiopathic elevated episcleral venous pressure and open-angle glaucoma.
D J Rhee1, M Gupta, M B Moncavage
1Glaucoma Service, Massachusetts Eye and Ear Infirmary, Harvard Medical School, 243 Charles Street, Boston, MA 02114, USA. dougrhee@aol.com
The British Journal of Ophthalmology
|June 24, 2008
Summary
Idiopathic Elevated Episcleral Venous Pressure (IEEVP) is a rare glaucoma cause. This case series adds new cases and highlights good surgical outcomes, but warns of potential choroidal effusions.
Area of Science:
- Ophthalmology
- Glaucoma Research
Background:
- Idiopathic Elevated Episcleral Venous Pressure (IEEVP) is a rare condition.
- Understanding its prevalence and long-term effects is crucial for patient management.
Observation:
- A case series of six patients with IEEVP was reviewed over five years.
- Patients presented with bilateral, asymmetric conjunctival injection in early adulthood.
Findings:
- This series expands the literature on IEEVP, a rare cause of glaucoma.
- Four patients required glaucoma surgery, with successful outcomes in three cases following filtration surgery.
- Choroidal effusions were noted postoperatively in one non-hypotonous eye.
Implications:
- IEEVP diagnosis relies on clinical evidence of dilated episcleral vessels without a clear cause.
- Glaucoma filtration surgery for IEEVP generally yields good results.
- Caution is advised regarding potential choroidal effusions, even at non-hypotonous pressures.
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