Secondary glaucoma due to thrombosis of sigmoid and transverse sinus

  • Vijaya Pai H. Department of Ophthalmology, Kasturba Medical College, Manipal University, Manipal, India
  • Matta Rudhira Reddy Kasturba Medical College, Manipal
Keywords: glaucoma, raised episcleral venous pressure, venous thrombosis

Abstract

An 88-year-old female presented with redness in the left eye of one-month duration. On examination, the left eye showed 3 mm of proptosis with dilated and tortuous episcleral vessels and relative afferent pupillary defect. Intraocular pressure was 60 mmHg and showed open angles on gonioscopy with cup disc ratio of 0.8 in OS. A diagnosis of secondary open-angle glaucoma due to elevated episcleral venous pressure (EVP) was made. Magnetic resonance venogram revealed thrombosis of transverse and sigmoid sinus on the left side. This is the first case report of secondary open-angle glaucoma due to elevated EVP following thrombosis of transverse and sigmoid sinus.

Author Biographies

Vijaya Pai H., Department of Ophthalmology, Kasturba Medical College, Manipal University, Manipal, India

Professor, Department of Ophthalmology

Matta Rudhira Reddy, Kasturba Medical College, Manipal

Department of Ophthalmology, Kasturba Medical College,Manipal University, Manipal

References

Stamper RL, Lieberman MF, Drake MV (Eds). Becker-Shaffer’s Diagnosis and Therapy of the Glaucomas. 8th ed. St. Louis: Mosby; 2009:284.

Weinberg RN, Jeng S, Goldstick BJ. Glaucoma secondary to elevated episcleral venous pressure. In: Ritch R, Shields MB, Krupin T, eds. The Glaucomas. St. Louis: Mosby; 1989:1130.

Cioffi GA. Glaucoma: Basic and Clinical Science Course. San Francisco, CA: American Academy of Ophthalmology; 2014-2015:95.

De Keizer R. Carotid-cavernous and orbital arteriovenous fistulas: ocular features, diagnostic and hemodynamic considerations in relation to visual impairment and morbidity. Orbit. 2003;22(2):121-142.

Bousser MG, Ferro JM. Cerebral venous thrombosis: an update. Lancet Neurol. 2007;6:162-170.

Alvis-Miranda HR, Castellar-Leones SM, Alcala-Cerra G, Moscote-Salazar LR. Cerebral sinus venous thrombosis. J Neurosci Rural Pract. 2013 Oct-Dec;4(4):427-438.

Moses RA, Grodzki WJ. Mechanism of glaucoma secondary to increased venous pressure. Arch Ophthalmol. 1985;103:1653-1658.

Carvalho RA, Delloiagono HS, Jammal AA, Resende GM, Angotti HS. Secondary glaucoma following carotid cavernous fistula. Rev. Bras. Oftalmol. 2016;75(2):156-159.

Nassr MA, Morris CL, Netland PA, Karcioglu ZA. Intraocular pressure change in orbital disease. Surv Ophthalmol. 2009;54(5):519-544.

El Damarawy EA, El-Nekiedy AE, Fathi AM, Eissa ED. Role of magnetic resonance venography in evaluation of cerebral veins and sinuses occlusion. Alex J Med. 2012;48:29-34.

Published
2020-04-30
How to Cite
Pai H., V., & Reddy, M. R. (2020). Secondary glaucoma due to thrombosis of sigmoid and transverse sinus. Asian Journal of Ophthalmology, 17(2), 142-146. https://doi.org/10.35119/asjoo.v17i2.532
Section
Case Reports/Case Series