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MULTIMODAL IMAGING IN VORTEX VEIN VARICES.

Chiara Veronese1, Giovanni Staurenghi2, Marco Pellegrini2

  • 1Ophthalmology Unit, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.

Retinal Cases & Brief Reports
|March 24, 2017
PubMed
Summary
This summary is machine-generated.

This study describes vortex vein varices using multimodal imaging. Applying ocular pressure during examination, especially with ultra-widefield imaging, aids in diagnosis.

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Area of Science:

  • Ophthalmology
  • Medical Imaging
  • Vascular Diseases

Background:

  • Vortex vein varices are vascular anomalies that can present with varied clinical signs.
  • Accurate diagnosis is crucial for appropriate patient management and understanding potential complications.

Observation:

  • A retrospective case series of eight patients with vortex vein varices was analyzed.
  • Multimodal imaging, including fundus photography, angiography, and OCT, was employed to characterize the lesions.
  • Ultra-widefield imaging with digital globe pressure demonstrated lesion resolution, confirming the diagnosis.

Findings:

  • Vortex vein varices presented as retinal abnormalities in all eight patients, often in the superonasal or inferonasal quadrants.
  • Imaging revealed dilated vortex vein ampullae and choroidal vessels.
  • Digital pressure application to the globe during ophthalmoscopy and ultra-widefield imaging proved effective in confirming the diagnosis.

Implications:

  • Multimodal imaging, particularly ultra-widefield angiography with globe pressure, offers a reliable method for diagnosing vortex vein varices.
  • This diagnostic approach can aid in differentiating varix from other retinal pathologies.
  • Understanding the imaging characteristics is key for ophthalmologists managing these vascular anomalies.