The Royal Eye Unit, Kingston Hospital, NHS Foundation Trust, Kingston Upon Thames, London, United Kingdom .
Retin Cases Brief Rep. 2022 May 1;16(3):362-364. doi: 10.1097/ICB.0000000000000983. Epub 2020 Feb 6.
We report a case of a vortex vein varix diagnosed with optical coherence tomography under globe compression.
To illustrate the dynamical behavior of a vortex vein varix, optical coherence tomography was performed with and without gentle globe indentation with a cotton swab.
A 51-year-old woman was referred by her optician for an incidental finding of a nonpigmented choroidal mass in the right eye. The patient was asymptomatic with a best-corrected visual acuity of 20/16 in both eyes. On fundoscopy, a prominent smooth pink lesion at the level of the superonasal equatorial retina could be observed in the right eye. Peripheral optical coherence tomography over the area revealed dilated choroidal vessels with an overlying healthy retina. Optical coherence tomography scan was repeated applying gentle globe indentation under which the lesion completely collapsed.
This case illustrates that the diagnosis of a vortex vein varix can be made in clinics using noninvasive tools such as optical coherence tomography. The anatomical localization of the lesion and the pressure-evoked fluctuation of size and shape are important clues which lead to the diagnosis.
我们报告一例在眼球压迫下经光学相干断层扫描（OCT）诊断的涡静脉瘤。
为了说明涡静脉瘤的动力学行为，我们使用棉签对其进行了轻柔的眼球压迫和非压迫 OCT 检查。
一名 51 岁女性因右眼意外发现无色素脉络膜肿块，由其验光师转诊。患者无症状，双眼最佳矫正视力均为 20/16。眼底检查发现右眼超鼻上赤道部视网膜水平有一明显的光滑粉红色病变。病变区域的周边 OCT 显示脉络膜血管扩张，上方视网膜正常。对该区域进行了重复的轻柔眼球压迫 OCT 检查，结果显示病变完全塌陷。
本病例说明，使用 OCT 等非侵入性工具可以在临床上诊断涡静脉瘤。病变的解剖定位以及大小和形状的压力诱发波动是重要的诊断线索。
