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CASE REPORT
Year : 2015  |  Volume : 8  |  Issue : 2  |  Page : 120-121

Surgical management of glaucoma secondary to idiopathic elevated episcleral venous pressure


1 Department of Ophthalmology, Christian Medical College, Schell Eye Hospital, Vellore, Tamil Nadu, India
2 Christian Medical College, Schell Eye Hospital, Vellore, Tamil Nadu, India

Correspondence Address:
Dr. Zia Sultan Pradhan
Department of Ophthalmology, Christian Medical College, Schell Eye Hospital, Arni Road, Vellore - 632 001, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-620X.159266

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Idiopathic elevated episcleral venous pressure is characterized by dilated episcleral veins and open angle glaucoma. Trabeculectomies in these eyes are often complicated by uveal effusions (intraoperative or postoperative) at nonhypotonous pressures. We highlight the ability to avoid the need for sclerostomies by preventing intraoperative shallowing of the anterior chamber and the use of tight scleral sutures which should be adjusted postsurgery to gradually reach the target intraocular pressure in a step-wise manner.


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