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[Glaucoma due to elevated episcleral venous pressure].

R Greslechner¹, I Oberacher-Velten^2,3

¹Klinik und Poliklinik für Augenheilkunde, Klinikum der Universität Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Deutschland. greslechner@eye-regensburg.de.

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|December 4, 2018

Summary

Glaucoma from elevated episcleral venous pressure is rare but challenging to treat. Early diagnosis and management of underlying conditions are crucial due to high complication risks.

Keywords:

Carotid-cavernous sinus fistula Complications Differential diagnosis Radius-Maumenee syndrome Sturge-Weber syndrome

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Trabecular Meshwork Response to Pressure Elevation in the Living Human Eye

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Area of Science:

Ophthalmology
Glaucoma Research

Background:

Elevated episcleral venous pressure causes a rare form of secondary open-angle glaucoma.
This condition presents significant diagnostic and therapeutic challenges.

Purpose of the Study:

To review the pathophysiology, clinical presentation, differential diagnosis, and treatment of glaucoma due to elevated episcleral venous pressure.
To highlight specific conditions such as Radius-Maumenee syndrome, Sturge-Weber syndrome, and carotid-cavernous sinus fistulas.

Main Methods:

A comprehensive literature search was performed using the PubMed database.

Main Results:

Diagnostic workup must exclude serious conditions like carotid-cavernous sinus fistulas.
Treatment focuses on the underlying cause; medical therapy is often inadequate.
Surgical interventions carry a high risk of severe complications, with varied approaches reported in limited case series.

Conclusions:

Glaucoma secondary to elevated episcleral venous pressure can be idiopathic or linked to other diseases.
Despite its rarity, it warrants consideration in differential diagnoses.
Treatment is complex due to the elevated risk of significant complications.