MACULAR VORTEX VEIN IN A HIGHLY MYOPIC EYE IMAGED BY OPTICAL COHERENCE TOMOGRAPHY ANGIOGRAPHY.
Journal
Retinal cases & brief reports
ISSN: 1937-1578
Titre abrégé: Retin Cases Brief Rep
Pays: United States
ID NLM: 101298744
Informations de publication
Date de publication:
01 Jul 2021
01 Jul 2021
Historique:
pubmed:
8
8
2018
medline:
1
12
2021
entrez:
8
8
2018
Statut:
ppublish
Résumé
To report a case of macular vortex vein imaged with indocyanine green angiography, spectral domain optical coherence tomography, and optical coherence tomography angiography. Observational case report. A 51-year-old myopic man presented with the complaint of a floater in his left eye for the previous 2 weeks. His visual acuity was 20/25 in the right eye and 20/40 in the left eye. Biomicroscopy was normal. Retinoscopy revealed lattice degeneration and posterior vitreous detachment of both eyes with dilated submacular vasculature in the right eye and submacular hemorrhage in the left eye. Spectral domain optical coherence tomography demonstrated dilated vessels in the choroid of the right eye and a choroidal neovascular membrane in the left eye. Fluorescein angiography and indocyanine green angiography showed a macular vortex vein in the right eye. Optical coherence tomography angiography demonstrated normal vessel densities in the superficial and deep capillary plexuses. No abnormalities were detected in the outer retina or choriocapillaris. Optical coherence tomography angiography delineated the macular vortex vein with a relative flow void in the right eye. His vision remained stable in the right eye. Macular vortex veins may be a prominent, albeit rare, incidental finding in highly myopic eyes. Further studies with application of newer optical coherence tomography angiography modalities, such as swept-source optical coherence tomography angiography, are recommended to improve our understanding and monitoring of these structures.
Identifiants
pubmed: 30086105
pii: 01271216-202107000-00020
doi: 10.1097/ICB.0000000000000808
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
431-435Références
Rutnin U. Fundus appearance in normal eyes. I. The choroid. Am J Ophthalmol 1967;64:821–839.
Ohno-Matsui K, Morishima N, Ito M, et al. Posterior routes of choroidal blood outflow in high myopia. Retina 1996;16:419–425.
Moriyama M, Ohno-Matsui K, Futagami S, et al. Morphology and long-term changes of choroidal vascular structure in highly myopic eyes with and without posterior staphyloma. Ophthalmology 2007;114:1755–1762.
Ohno-Matsui K, Akiba M, Ishibashi T, Moriyama M. Observations of vascular structures within and posterior to sclera in eyes with pathologic myopia by swept-source optical coherence tomography. Invest Ophthalmol Vis Sci 2012;53:7290–7298.
Moriyama M, Cao K, Ogata S, Ohno-Matsui K. Detection of posterior vortex veins in eyes with pathologic myopia by ultra-widefield indocyanine green angiography. Br J Ophthalmol 2017;101:1179–1184.
Ohno-Matsui K, Morishima N, Teramatsu T, et al. The long-term follow-up of a highly myopic patient with a macular vortex vein. Acta Ophthalmol Scand 1997;75:329–332.
Hope-Ross M, Yannuzzi LA, Gragoudas ES, et al. Adverse reactions due to indocyanine green. Retina 1995;15:76.
Spaide RF, Fujimoto JG, Waheed NK. Image artifacts in optical coherence tomography angiography. Retina 2015;35:2163–2180.
Hendargo HC, McNabb RP, Dhalla AH, et al. Doppler velocity detection limitations in spectrometer-based versus swept-source optical coherence tomography. Biomed Opt Express 2011;2:2175–2188.
Maruko I, Spaide RF, Koizumi H, et al. Choroidal blood flow visualization in high myopia using a projection artifact method in optical coherence tomography angiography. Retina 2017;37:460–465.
Chen FK, Viljoen RD, Bukowska DM. Classification of image artefacts in optical coherence tomography angiography of the choroid in macular diseases. Clin Exp Ophthalmol 2016;44:388–399.