Date amended:
External
Statements of Principles

Open-angle glaucoma - Ipsilateral elevated episcleral venous pressure Factor

This means raised venous pressure in the sclera of the eye affected by open angle glaucoma. (ipsilateral means situated on, pertaining to, or affecting the same side). The sclera is the firm, fibrous, outer layer of the eyeball continuous with the sheath of the optic nerve behind and with the cornea in front.

Elevated episcleral venous pressure results from obstruction to venous outflow within or adjacent to the orbit from eg exophthalmos, orbital tumours, cavernous sinus thrombosis, carotid cavernous fistula, Sturge-Weber syndrome. Occasionally, severe venous obstruction could also raise episcleral venous pressure.

Medical advice will be needed to determine the presence, or otherwise, of ipsilateral elevated episcleral venous pressure.

LAST REVIEWED FOR CCPS 18 JULY 2006.

PRELIMINARY QUESTIONS [31410]

31411 there is some evidence that ipsilateral elevated episcleral venous pressure may be a factor in the development of the condition under consideration.

31412 the veteran has suffered from elevated episcleral venous pressure at some time.

31414 the veteran has suffered from elevated episcleral venous pressure in side and site of the body at some time.

31418 the veteran suffered from elevated episcleral venous pressure in side and site of the body as a consequence of an illness or injury which is identifiable.

31416 the veteran suffered elevated episcleral venous pressure in side and site of the body as a consequence of the identified illness or injury at the time of the clinical onset of the condition under consideration.

31419  the veteran has established the causal connection between ipsilateral elevated episcleral venous pressure and VEA service for the clinical onset of the condition under consideration.

31420   the veteran has established the causal connection between ipsilateral elevated episcleral venous pressure and operational service for the clinical onset of the condition under consideration.

or

31421   the veteran has established the causal connection between ipsilateral elevated episcleral venous pressure and eligible service for the clinical onset of the condition under consideration.

CLINICAL ONSET AND OPERATIONAL SERVICE [31420]

31426  the identified illness or injury, which caused the elevated episcleral venous pressure in side and site of the body, is causally related to operational service.

CLINICAL ONSET AND ELIGIBLE SERVICE [31421]

31424  the identified illness or injury, which caused the elevated episcleral venous pressure in side and site of the body, is causally related to eligible service.