Abstract
A 69-year-old woman was seen in the eye clinic of the Olabisi Onabanjo University Teaching Hospital [OOUTH], Sagamu, south-west Nigeria, with irritation in the right eye due to a vascular nasal pterygium, but asymptomatic in her left eye. Examination revealed dilated and tortuous conjunctival and episcleral vessels in her left eye with no apparent cause. She later developed secondary glaucoma in that eye. A diagnosis of left idiopathic dilated episcleral vein with secondary open angle glaucoma [Radius Maumenee syndrome] was made. She was treated both medically and surgically. This rare case in an African woman is presented in order to highlight the possibility of secondary vascular glaucoma in a patient with chronic redness of the eye without symptoms of discomfort or allergy. Keywords: idiopathic, dilated episcleral veins, secondary glaucoma, NigeriaNigerian Journal of Ophthalmology Vol. 16 (1) 2008: pp. 20-22
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