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Radius-Maumenee syndrome-associated glaucoma, a therapeutic challenge: A case report
Anastasios Lavaris1, Harry Petrushkin1,2, Eleni Nikita1
1Department of Ophthalmology, Moorfields Eye Hospital, London, UK.
European Journal of Ophthalmology
|June 11, 2024
Summary
Radius-Maumenee syndrome, a rare cause of secondary open-angle glaucoma due to elevated episcleral venous pressure (EVP), presents unique diagnostic and management challenges. This condition requires careful exclusion of other causes and poses risks during glaucoma surgery.
Area of Science:
- Ophthalmology
- Glaucoma Research
Background:
- Radius-Maumenee syndrome is a rare condition causing secondary open-angle glaucoma.
- It is characterized by elevated episcleral venous pressure (EVP) without systemic or orbital abnormalities.
Observation:
- A case of a male patient in his mid-sixties with bilateral dilated episcleral vessels, glaucoma, chorioretinal folds, and choroidal effusion is presented.
- Clinical, optical coherence tomography (OCT), and angiography findings are detailed.
Findings:
- Radius-Maumenee syndrome is a diagnosis of exclusion.
- Secondary glaucoma associated with this syndrome can be refractory to medical management.
- Filtering surgery carries risks of intraoperative or postoperative uveal effusions.
Implications:
- Highlights the importance of systematic investigations for diagnosing Radius-Maumenee syndrome.
- Suggests a potential pathophysiological mechanism for perioperative complications.
- Emphasizes the challenges in managing glaucoma secondary to elevated EVP.
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