To report a case of macular vortex vein in a highly myopic eye evaluated using multimodal imaging.
Approach:
Key Findings:
The patient exhibited a macular vortex vein in the left eye, with no abnormalities in the right eye.
Ultra-widefield color fundus photography revealed dilation of the large choroidal vessels in the macular region of the left eye, with a prominent vortex vein ampulla.
Infrared reflectance imaging demonstrated the vortex vein branches converging toward the macula, while ICGA showed centripetal convergence and unobstructed drainage.
Interpretation:
Macular vortex veins can occur in highly myopic eyes, and multimodal imaging, particularly SS-OCTA, is effective in visualizing this vascular variant.
Limitations:
The study is based on a single case report, limiting generalizability.
Further research is needed to understand the pathogenesis and clinical significance of macular vortex veins.
Conclusion:
Recognizing macular vortex veins as a benign finding is important to avoid misdiagnosis and unnecessary treatment.
