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OPHTHALMIC IMAGE
Year : 2022  |  Volume : 2  |  Issue : 1  |  Page : 320

Non-invasive multimodal imaging in a case of choroidal macrovessel


Department of Vitreoretina and Ocular Oncology, Sankara Eye Hospital, Bengaluru, Karnataka, India

Date of Web Publication07-Jan-2022

Correspondence Address:
Dr. Surendra Pal
Department of Vitreoretina and Ocular Oncology, Sankara Eye Hospital, Kundanahalli Gate, Varthur Road, Vaikuntam Layout, Bengaluru - 560 037, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1512_21

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How to cite this article:
Ramanjulu R, Pal S, Dubey D, Shanmugam M. Non-invasive multimodal imaging in a case of choroidal macrovessel. Indian J Ophthalmol Case Rep 2022;2:320

How to cite this URL:
Ramanjulu R, Pal S, Dubey D, Shanmugam M. Non-invasive multimodal imaging in a case of choroidal macrovessel. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Jan 19];2:320. Available from: https://www.ijoreports.in/text.asp?2022/2/1/320/334883



Choroidal macrovessel is a rare choroidal vascular abnormality, first reported by Lima et al.[1] A 43-year-old female presented with mild distortion of vision in the left eye. Fundus examination revealed an elevated, hypo-pigmented lesion above the fovea [Figure 1]a. Infrared imaging showed a dilated serpentine choroidal vessel originating at the posterior pole, extending temporally [Figure 1]b. SS-OCT revealed a hyporeflective, oval-shaped choroidal macrovessel indenting overlying retina [Figure 1]c. OCT-angiography through the level of the choroidal vessels showed a signal void area corresponding to the low flow tortuous choroidal vessel [Figure 1]d. These imaging signatures may help differentiate it from other choroidal vascular pathologies such as choroidal neoplasms and parasitic tracks.[2]
Figure 1: Fundus photography showing an elevated, hypopigmented lesion above the fovea (a) Infrared imaging showed a dilated choroidal vessel running across the posterior pole in a serpentine manner with a fang-like proximal bifurcation (white arrowhead) (b). SS-OCT showed a hyporeflective oval-shaped choroidal macrovessel with a diameter of 405 microns (black arrow) indenting overlying retina with localized RPE alterations. The vessel appeared to arise from Haller's layer (c). OCT-angiography through choroidal vessels showed a signal void area corresponding to low flow tortuous choroidal vessel (d)

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Lima LH, Laud K, Chang LK, Yannuzzi LA. Choroidal macrovessel. Br J Ophthalmol 2011;95:1333-4.  Back to cited text no. 1
    
2.
Ehlers JP, Hani Rayess BS, Spaide RF. Isolated choroidal macrovessel: A track-like choroidal lesion. Can J Ophthalmol 2014;49:e158-60.  Back to cited text no. 2
    


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