pmjТихоокеанский медицинский журналPacific Medical Journal1609-1175TGMU10.34215/1609-1175-2025-3-89-93pmj-2979Research ArticleНАБЛЮДЕНИЯ ИЗ ПРАКТИКИPRACTICE OBSERVATIONSХирургическое лечение вторичной глаукомы на фоне идиопатического расширения эписклеральных вен: клинический случайSurgical management of secondary glaucoma in the setting of idiopathic dilatated episcleral veins: A clinical casehttps://orcid.org/0000-0002-0516-0068МакаревичЕ. С.MakarevichE. S.

Макаревич Екатерина Сергеевна – аспирант кафедры офтальмологии и оториноларингологии 

690002, Владивосток, пр-т Острякова, 2

Makarevich Ekaterina Sergeevna, Postgraduate Student of the Department of Ophthalmology and Otorhinolaryngology

2 Ostryakova ave., Vladivostok, 690002, Russia

dr.makarevich@mail.ruФедяшевГ. А.FedyashevG. A.

Владивосток

Vladivostok

Тихоокеанский государственный медицинский университет; Приморский центр микрохирургии глазаРоссияPacific State Medical University; Primorskii center of eye microsurgeryRussian Federation202510122025038993Copyright © Макаревич Е.С., Федяшев Г.А., 20252025Макаревич Е.С., Федяшев Г.А.Makarevich E.S., Fedyashev G.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.tmj-vgmu.ru/jour/article/view/2979

Представлен клинический случай молодой пациентки с вторичной открытоугольной глаукомой на фоне синдрома Радиуса – Маумани. На протяжении нескольких лет наблюдалась стабильность структурно-функциональных показателей на фоне комбинированной гипотензивной терапии, несмотря на сохраняющийся вариабельный уровень внутриглазного давления (ВГД). При плановом визите зафиксированы жалобы на снижение контрастной чувствительности и появление «пелены» перед глазом. По результатам дополнительных обследований выявлены признаки прогрессирования глаукомного процесса. Для достижения толерантного уровня ВГД и стабилизации глаукомной нейрооптикопатии выполнена непроникающая глубокая склерэктомия. Описаны результаты динамического наблюдения после хирургического лечения вторичной глаукомы на фоне идиопатического расширения эписклеральных вен для выработки тактики долгосрочного ведения таких пациентов.

A clinical case of a young female patient with secondary open-angle glaucoma associated with the Radius–Maumenee syndrome is presented. Over several years, structural and functional parameters remained stable under combined hypotensive therapy, despite persistent variability in intraocular pressure (IOP). During a routine follow-up visit, the patient reported a decrease in contrast sensitivity and the appearance of a veil in front of the eye. Additional diagnostic examinations revealed signs of glaucoma progression, prompting the decision to perform a non-penetrating deep sclerectomy (NPDS) to achieve a target IOP and stabilize optic neuropathy. In this article, we present our clinical experience in the observation and surgical management of secondary glaucoma in the setting of idiopathic dilatated episcleral veins, thus contributing to the development of a feasible treatment algorithm for such patients.

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The authors declare that there are no conflicts of interest present.