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Choroidal Macrovessel Diagnosed on Multimodal Imaging, including Swept-Source Optical Coherence Tomography
Renuka Mopuru1, T Y Alvin Liu2, J Fernando Arevalo2
1Division of Ocular Immunology and Uveitis, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Case Reports in Ophthalmology
|May 25, 2022
Summary
A rare choroidal macrovessel (CM) was incidentally found in a 72-year-old man. Multimodal imaging confirmed the diagnosis and helped differentiate it from other serious eye conditions.
Area of Science:
- Ophthalmology
- Vascular Anomalies
- Medical Imaging
Background:
- Choroidal macrovessels (CMs) are rare vascular anomalies of the choroid.
- Accurate diagnosis is crucial for differentiating CMs from other ocular pathologies.
Observation:
- A case report details a 72-year-old Caucasian male with an incidental, heavily branching CM in the macula of his right eye.
- Diagnosis was established using multimodal imaging techniques.
Findings:
- Enhanced depth imaging optical coherence tomography (OCT), swept-source OCT angiography, and indocyanine green angiography were employed.
- These imaging modalities revealed the characteristic appearance of the choroidal macrovessel.
Implications:
- Multimodal imaging is essential for the definitive diagnosis of choroidal macrovessels.
- It aids in distinguishing CMs from vision-threatening conditions like choroidal neoplasms and inflammatory diseases.
