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Submacular choroidal varix simulating chorioretinal folds with metamorphopsia
Ophthalmic Surgery, Lasers & Imaging Retina
|October 31, 2013
Summary
This case study describes a rare submacular choroidal varix that mimicked other conditions. Advanced imaging confirmed the diagnosis, highlighting the importance of considering this condition in specific clinical presentations.
Area of Science:
- Ophthalmology
- Medical Imaging
- Vascular Anomalies
Background:
- Submacular choroidal varices are rare vascular anomalies.
- They can present with symptoms mimicking other macular diseases.
Observation:
- A 74-year-old man presented with metamorphopsia due to a submacular choroidal varix.
- Clinical examination showed choroidal elevations resembling chorioretinal folds.
- Fundus photography revealed a pigment epithelial detachment-like lesion.
Findings:
- Indocyanine green angiography and SD-OCT confirmed an isolated unilateral submacular choroidal varix.
- The varix had a direct connection to an inferior vortex vein.
- Lesion characteristics remained stable with gaze changes.
Implications:
- Submacular choroidal varix should be considered in cases of metamorphopsia with unexplained choroidal elevations.
- Multimodal imaging, including ICG and SD-OCT, is crucial for accurate diagnosis.
- This case expands the understanding of choroidal vascular anomalies.
