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Updated: Apr 11, 2026
Deep Vascular Imaging in the Eye with Flow-Enhanced Ultrasound
Published on: October 4, 2021
ENHANCED DEPTH IMAGING FEATURES OF A CHOROIDAL MACROVESSEL
1*Vitreoretinal Surgery Service, Herzig Eye Institute, Toronto, Ontario, Canada; †Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, Ann Arbor, Michigan; ‡Department of Pathology, University of Michigan Medical School, Ann Arbor, Michigan; §University of Michigan Comprehensive Cancer Center, Ann Arbor, Michigan; and ¶Division of Ophthalmology, Surgical Service, Veterans Administration Ann Arbor Healthcare System, Ann Arbor, Michigan.
Enhanced depth imaging spectral domain optical coherence tomography (EDI-OCT) effectively visualized a choroidal macrovessel, revealing a thickened choroid and outer retinal deformation. This imaging helps differentiate it from similar conditions.
Area of Science:
- Ophthalmology
- Medical Imaging
Background:
- Choroidal macrovessels are rare vascular anomalies.
- Accurate imaging is crucial for diagnosis and differentiation from other conditions like ophthalmomyiasis.
Observation:
- A 42-year-old male presented with metamorphopsia.
- Multimodal imaging, including enhanced depth imaging spectral domain optical coherence tomography (EDI-OCT), was employed.
Findings:
- EDI-OCT revealed a thickened choroid and deformation of the ellipsoid zone and choroidal-scleral junction.
- En face spectral domain optical coherence tomography confirmed an anomalous choroidal vessel.
- A serpentine subretinal pattern was noted, with a large diameter vessel visible after red filter application.
Implications:
- EDI-OCT and en face OCT are valuable tools for demonstrating choroidal macrovessels.
- These techniques aid in distinguishing choroidal macrovessels from conditions with similar presentations.
- Understanding choroidal features associated with macrovessels improves diagnostic accuracy.
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