Case Report: Multimodal imaging of a macular vortex vein in a highly myopic eye - Takeaways - MDSpire

Case Report: Multimodal imaging of a macular vortex vein in a highly myopic eye

  • By

  • Zhilin Zhang

  • Shuang Wang

  • Xingyu He

  • Keke Huang

  • Ting Luo

  • June 19, 2026

  • 0 min

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  • 1

    Macular vortex veins are rare anatomical variants found in highly myopic eyes, with their pathogenesis being debated between congenital and acquired origins.

  • 2

    A 51-year-old myopic female presented with floaters and was found to have a macular vortex vein in her left eye, with normal visual acuity.

  • 3

    Multimodal imaging techniques, including ultra-widefield color fundus photography, ICGA, and SS-OCTA, were utilized to evaluate the macular vortex vein.

  • 4

    SS-OCTA provided detailed visualization of the choroidal vessel architecture and the morphology of the vortex vein lumen.

  • 5

    The patient was reassured about the benign nature of the macular vortex vein, with no treatment required and annual follow-up advised.

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