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OPHTHALMIC IMAGE
Year : 2020  |  Volume : 68  |  Issue : 10  |  Page : 2260

Macular vortex vein in high myopia


Department of Retina-Vitreous, Narayana Nethralaya, Bengaluru, Karnataka, India

Date of Web Publication23-Sep-2020

Correspondence Address:
Dr. Ramesh Venkatesh
Department of Retina-Vitreous, Narayana Nethralaya, 121/C, Chord Road, 1st ‘R’ Block, Rajaji Nagar, Bengaluru - 560 010, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_392_20

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How to cite this article:
Venkatesh R, Pereira A, Thomas S, Sangai S, Sridharan A, Yadav NK. Macular vortex vein in high myopia. Indian J Ophthalmol 2020;68:2260

How to cite this URL:
Venkatesh R, Pereira A, Thomas S, Sangai S, Sridharan A, Yadav NK. Macular vortex vein in high myopia. Indian J Ophthalmol [serial online] 2020 [cited 2020 Oct 31];68:2260. Available from: https://www.ijo.in/text.asp?2020/68/10/2260/295739



Fundus examination in a 25-year-old myopic man with a refractive error of -10DS, -1.50 DC × 10°, 6/9, N6 in both eyes showed normal retinal periphery, tilted optic disc with peripapillary atrophy and dilated submacular vasculature in the RE. [Figure 1]a Sequential indocyanine green angiography images showed the filling and emptying of the dye in a macular vortex vein in the RE (white arrow) [Figure 1]b and [Figure 1]c. The ampulla of the vortex vein was seen nasal to the fovea. Spectral-domain optical coherence tomography demonstrated dilated choroidal vessels at the posterior pole (yellow arrow) [Figure 1]d.
Figure 1: Posterior vortex vein in high myopia

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Posterior vortex veins (PVV) may be a prominent incidental finding seen in nearly one-quarter of highly myopic eyes. PVV is usually found exiting the eye either at the margin of the optic nerve head or at the macula on indocyanine green angiography.[1],[2] Eyes with PVV have reduced axial length, posterior staphyloma, and higher incidence of choroidal neovascularization-related macular atrophy.[2],[3] The imaging modality routinely used to identify PVV is ultrawide indocyanine green angiography and more recently optical coherence tomography angiography.[2],[4]

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.
Ohno-Matsui K, Morishima N, Ito M, Yamashita S, Tokoro T. Posterior routes of choroidal blood outflow in high myopia. Retina (Philadelphia, Pa) 1996;16:419-25.  Back to cited text no. 1
    
2.
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;101:1179-84.  Back to cited text no. 2
    
3.
Schouten IM, Palkar AH, Bhende M. Macular vortex vein with choroidal neovascularisation in pathologic myopia. Indian J Ophthalmol 2019;67:1717-8.  Back to cited text no. 3
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4.
Kaplan RI, Walsh JB, Rosen RB, Gupta M. Macular vortex vein in a highly myopic eye imaged by optical coherence tomography angiography. Retin Cases Brief Rep 2018. doi: 10.1097/ICB.0000000000000808  Back to cited text no. 4
    


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