Idiopathic dilated episcleral vessels (Radius-Maumenee syndrome): Case report

Abstract

Radius-Maumenee syndrome comprises idiopathic dilated episcleral vessels thatare usually associated with glaucoma. The case described herein is of a malepatient, 69 years old, with chronic dilation of the episcleral vessels and glaucomain his left eye, with no history of systemic disease. Visual acuity and fundoscopywere normal in both eyes. Tonometry measured 14 mmHg in the right eye and25 mmHg in the left. Computed tomography angiography (CTA) was negative forcarotid-cavernous fistula. The intraocular pressure of the left eye decreased to20 mmHg with clinical treatment without regression of episcleral venous dilation. Trabeculectomy normalized the intraocular pressure and reduced the vessels. There was choroidal effusion on day 16 of the postoperative period, which resolvedwith corticosteroids. Although choroidal effusion can occur, the efficacy oftrabeculectomy in controlling glaucoma and the reduction of episcleral vesselsare clearly demonstrated.