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OPHTHALMIC IMAGE
Year : 2019  |  Volume : 67  |  Issue : 2  |  Page : 277

Congenital tortuous retinal vessels


Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh, India

Date of Web Publication23-Jan-2019

Correspondence Address:
Dr. Mohit Dogra
Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh - 160 012
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1281_18

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How to cite this article:
Dogra M, Dogra MR. Congenital tortuous retinal vessels. Indian J Ophthalmol 2019;67:277

How to cite this URL:
Dogra M, Dogra MR. Congenital tortuous retinal vessels. Indian J Ophthalmol [serial online] 2019 [cited 2019 Dec 10];67:277. Available from: http://www.ijo.in/text.asp?2019/67/2/277/250659



A 41-year-old female was referred to the Retina Service with a diagnosis of bilateral impending central retinal vein occlusion (CRVO). Best-corrected visual acuity was 6/6, N6 with normal pupillary reactions. Fundus examination of both eyes revealed non-dilated corkscrew-like tortuous retinal venules in all four quadrants with normal caliber and pattern of retinal arterioles [Figure 1]. No retinal hemorrhages, cotton wool spots, hard exudates, or microaneurysms were seen. Systemic evaluation showed no evidence of hypertension, diabetes mellitus, or hyperlipidemia. Diagnosis of congenital tortuous retinal vessels was made and the patient was reassured.[1],[2] Clinicians must be aware of this rare non-progressive retinal vascular anomaly as it mimics CRVO and hypertensive retinopathy.[1],[3],[4]
Figure 1: (a and b): Fundus photographs of both eyes showing tortuous “corkscrew” shaped retinal venules (blue arrows) in all four quadrants with normal appearance of retinal arterioles (yellow arrows), (c and d): 12 × 12 mm optical coherence tomography angiography scan showing superficial capillary plexus of both eyes which highlights retinal venular tortuosity (blue arrows) and normal architecture of retinal arterioles (yellow arrows)

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Xu N, Cui Y, Gao Z. Bilateral congenital venous tortuosity and dilatation combined with cilioretinal artery: A photographic essay. Int Med Case Rep J 2016;9:91-3.  Back to cited text no. 1
    
2.
Padhi TR, Kesarwani S, Jalali S. Bietti crystalline retinal dystrophy with subfoveal neurosensory detachment and congenital tortuosity of retinal vessels: Case report. Doc Ophthalmol 2011;12:199-206.  Back to cited text no. 2
    
3.
Awan KJ. Anomalies of the retinal veins and their incidence. J Pediatr Ophthalmol 1976;13:353-9.  Back to cited text no. 3
    
4.
Xu M, Lv PL. Clinical characters and classifications of the congenital retinal vascular anomalies. Int J Ophthalmol 2011;11:528-30.  Back to cited text no. 4
    


    Figures

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