Natarajan Vijaya, Mathew Sonia, Balaji Adhithya N, Ahirrao-Mutta Jayshree
Ophthalmology, NMC Specialty Hospital, Abu Dhabi, ARE.
Oncology, Università Cattolica del Sacro Cuore, Rome, ITA.
Cureus. 2023 Aug 31;15(8):e44500. doi: 10.7759/cureus.44500. eCollection 2023 Aug.
Congenital retinal macrovessels (CRMs) are a rare entity. They are usually unilateral, abnormally large, and aberrant vessels. Although the majority of the patients are asymptomatic, CRMs may affect vision if they are associated with pigmentary changes at the macula, foveolar cysts, central serous retinopathy, macular hemorrhage, or if the macrovessel crosses the fovea. Here, we present the case of a young female who came for a routine ophthalmological evaluation. She was asymptomatic, and the macrovessel was an incidental finding. Visual acuity and slit lamp examination were normal, and dilated fundus evaluation was normal except for CRM in the right eye. Optical coherence tomography angiography imaging helped visualize the depth of the vessel and the analysis of the architecture of the foveal avascular zone.
先天性视网膜大血管(CRMs)是一种罕见的病症。它们通常为单侧,血管异常粗大且走行异常。尽管大多数患者无症状,但如果CRMs与黄斑部色素改变、中心小凹囊肿、中心性浆液性视网膜病变、黄斑出血相关,或者大血管跨过中心小凹,则可能影响视力。在此,我们报告一例前来进行常规眼科检查的年轻女性病例。她无症状,大血管是偶然发现的。视力和裂隙灯检查正常,散瞳眼底检查除右眼存在CRMs外均正常。光学相干断层扫描血管造影成像有助于观察血管深度并分析中心凹无血管区的结构。