Abstract
The diagnosis and management of open-angle glaucoma secondary to increased episcleral venous pressure (EVP) can be challenging. There are three general categories of clinical entities associated with elevated EVP. However, the diagnosis can be easily missed if the clinical presentation does not demonstrate evidence of an obvious sing such a pulsatile exophthalmos. Topical and oral glaucoma medications can be used initially to control intraocular pressure (IOP). However, the underlying cause must be resolved to achieve long-term stabilization of IOPs. If unprepared, the unsuspecting ophthalmic surgeon may encounter unexpected intraoperative complication such as choroidal hemorrhage. Moreover, management of some cases may require the involvement of other physicians such as neurologists, neuroradiologist, an oncologist, or a surgeon. These considerations compel the clinician to be fully aware of the basic mechanism of this secondary open-angle glaucoma and the clinical entities associated with elevated EVP.
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Schultz, H., Alexis, D., Higginbotham, E.J. (2022). Glaucoma Associated with Episcleral Venous Pressure. In: Albert, D.M., Miller, J.W., Azar, D.T., Young, L.H. (eds) Albert and Jakobiec's Principles and Practice of Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-030-42634-7_180
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