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Idiopathic unilateral vortex vein dilation: a multimodal imaging case report
Xiaohui Tian1, Leibing Ji2, Reyisai Abudulamu1
1Department of Ophthalmology, Xinjiang 474 Hospital, Urumqi, Xinjiang, China.
BMC Ophthalmology
|December 23, 2025
Summary
Idiopathic vortex vein dilatation, a rare condition, was diagnosed using advanced multimodal imaging techniques. This case highlights key imaging features for accurate diagnosis and to prevent misdiagnosis.
Area of Science:
- Ophthalmology
- Medical Imaging
Background:
- Vortex vein dilatation is a rare clinical finding.
- It can be mistaken for choroidal tumors or vascular lesions, risking unnecessary treatment.
- Idiopathic cases are underreported, with limited imaging characteristic descriptions.
Purpose of the Study:
- To document a case of idiopathic vortex vein dilatation.
- To detail its diagnosis using multimodal imaging.
- To establish diagnostic criteria for this rare condition.
Main Methods:
- A 51-year-old male presented with an incidental abnormal fundus finding.
- Multimodal imaging was employed, including color fundus photography, ocular ultrasound, sodium fluorescein angiography (FFA), and indocyanine green angiography (ICGA).
- Secondary causes were excluded to confirm idiopathic cystic vortex vein dilatation.
Main Results:
- Multimodal imaging revealed distinctive features of idiopathic vortex vein dilatation.
- The combination of imaging modalities successfully excluded other potential diagnoses.
- A definitive diagnosis of idiopathic cystic vortex vein dilatation was established.
Conclusions:
- Idiopathic vortex vein dilatation has unique multimodal imaging signatures.
- These imaging findings can serve as diagnostic criteria.
- Accurate diagnosis aids clinicians in avoiding misdiagnosis and inappropriate interventions.
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