Radius-Maumenee Syndrome

Topic outline

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  Grand Rounds

  A 15-year-old male presented with elevated intraocular pressure of the left eye. Gonioscopy revealed blood in Schlemm’s canal. Fundoscopic examination and subsequent ophthalmic imaging confirmed a diagnosis of glaucoma in the left eye. Neuro-imaging was normal without signs of vascular anomaly. A diagnosis of Radius-Maumenee syndrome (Idiopathic Elevated Episcleral Venous Pressure) was made and the patient was treated with topical intraocular pressure-lowering drops unsuccessfully. The patient then underwent uncomplicated deep sclerectomy, viscocanalostomy, and Stage 1 Baerveldt implantation. Post-operative pressure was subsequently well controlled without drops.
  

  Presentation Date: 12/12/2019
  Issue Date: 08/01/2020
  

  • Presenter: C. Maxwell Medert, MD URL
  • Faculty Discussant: Ta Chen Peter Chang, MD URL
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