Surgical management of secondary glaucoma in the setting of idiopathic dilatated episcleral veins: A clinical case
https://doi.org/10.34215/1609-1175-2025-3-89-93
Abstract
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.
About the Authors
E. S. Makarevich
Pacific State Medical University;
Primorskii center of eye microsurgery
Russian Federation
Russian Federation
Makarevich Ekaterina Sergeevna, Postgraduate Student of the Department of Ophthalmology and Otorhinolaryngology
2 Ostryakova ave., Vladivostok, 690002, Russia
G. A. Fedyashev
Pacific State Medical University;
Primorskii center of eye microsurgery
Russian Federation
Russian Federation
Vladivostok
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Review
For citations:
Makarevich E.S., Fedyashev G.A. Surgical management of secondary glaucoma in the setting of idiopathic dilatated episcleral veins: A clinical case. Pacific Medical Journal. 2025;(3):89-93. (In Russ.) https://doi.org/10.34215/1609-1175-2025-3-89-93
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