Case Report: Multimodal imaging of a macular vortex vein in a highly myopic eye
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By
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Zhilin Zhang
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Shuang Wang
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Xingyu He
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Keke Huang
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Ting Luo
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June 19, 2026
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Clinical Scorecard: Case Study: Multimodal Imaging Insights into a Macular Vortex Vein in a Highly Myopic Eye
At a Glance
| Category | Detail |
|---|
| Condition | Macular vortex vein |
| Key Mechanisms | Anatomical variant associated with highly myopic eyes, potentially congenital or acquired due to myopic progression. |
| Target Population | Individuals with high myopia |
| Care Setting | Ophthalmology |
Key Highlights
- Macular vortex veins are rare in highly myopic eyes.
- Multimodal imaging, particularly SS-OCTA, effectively visualizes these veins.
- The presence of posterior staphyloma is associated with venous anomalies.
- Incidental findings can occur without significant visual impairment.
- Annual follow-up is recommended for monitoring.
Guideline-Based Recommendations
Diagnosis
- Utilize multimodal imaging techniques such as fundus photography, ICGA, and SS-OCTA for accurate diagnosis.
Management
- Reassure patients of the benign nature of incidental findings; no intervention is required.
Monitoring & Follow-up
- Annual follow-up is advised to monitor for any changes.
Risks
- Misdiagnosis and unnecessary treatment if the vascular variant is not recognized.
Patient & Prescribing Data
Highly myopic individuals, particularly those presenting with floaters.
No treatment is necessary for benign macular vortex veins.
Clinical Best Practices
- Recognize the anatomical variations of vortex veins to avoid misdiagnosis.
- Employ advanced imaging techniques for better visualization of vascular structures.
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