Varix of the Vortex Vein Ampulla: A Small Case Series

Levy, Jaime; Yagev, Ronit; Shelef, Ilan; Lifshitz, Tova

doi:10.1177/112067210501500320

Cited by 17 publications

(10 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar to ultrasonography,4 the dynamic characteristics of the varix can be confirmed by OCT. The test is performed first with the patient looking to the side of the lesion and then repeated with the application of gentle pressure on the globe as we did.…”

Section: Discussionmentioning

confidence: 73%

“…This diagnostic confusion can be solved by examining patients with indirect ophthalmoscopy or non-contact slit lamp biomicroscopy when the varix becomes more prominent while the eye looks in extreme positions of gaze,4 owing to the dynamic characteristics of the lesion; however, fundus examination with a contact lens with the eye in the primary position collapses the varix.…”

Section: Discussionmentioning

confidence: 99%

“…These include fundus fluorescein angiography, indocyanine green angiography, ultrasonography and colour Doppler echography 2. Similar to ultrasonography,4 the dynamic characteristics of the varix can be confirmed by OCT. The test is performed first with the patient looking to the side of the lesion and then repeated with the application of gentle pressure on the globe.…”

Section: Answersmentioning

confidence: 94%

See 2 more Smart Citations

Optical coherence tomographical findings in a case of varix of the vortex vein ampulla

Ismail

Sallam

Zambarakji

2010

British Journal of Ophthalmology

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Section: Answersmentioning

confidence: 94%

See 1 more Smart Citation

Optical coherence tomographical findings in a case of varix of the vortex vein ampulla

Ismail

Sallam

Zambarakji

2010

British Journal of Ophthalmology

View full text Add to dashboard Cite

“…Common morphologic features present in patients with FCEs included a markedly thin choroid, typical feature of ARMD or pathologic myopia and the presence of CNV in fellow eyes. FCEs have a similar appearance to choroidal varices [24, 25], and the authors have recently observed a symptomatic subfoveal choroidal varix with an FCE appearance. While FCEs may be associated with additional pathologic features such as drusen, RPE atrophy, and choroidal neovascularization, the present series identified numerous patients with metamorphopsia and no overlying pathology in the context of a subfoveal FCE, indicating that the lesions may induce visual symptoms in the absence of specific additional structural pathology.…”

Section: Discussionmentioning

confidence: 99%

Focal Choroidal Elevations: Localized Pigment Epithelial Contour Alterations due to Isolated Choroidal Vessels

Chu

Pannullo

Sigler

2019

Journal of Ophthalmology

View full text Add to dashboard Cite

Purpose The objective of this case series was to describe the clinical and imaging features of focal choroidal elevations (FCE), which are chorioretinal contour changes induced by individual choroidal vessels within an overall thin-appearing choroid. Methods A total of 787 enhanced depth imaging (EDI) spectral domain optical coherence tomography (SD-OCT) patient images were initially screened for the presence of FCE. Prospective imaging analysis of 38 patients with FCE was done. Mean central macular choroidal thickness (CMCT), FCE location, FCE vessel lumen diameter, patient demographics, cycloplegic autorefraction, ophthalmoscopic findings, and presence of choroidal neovascularization (CNV) in the fellow eye were recorded. Results FCE were observed in 25 patients with age-related macular degeneration (ARMD), in 5 patients with high myopia, and in 8 patients with age-related choroidal atrophy (ARCA). Mean patient age was 80 ± 9.4 years. Mean CMCT was 86 ± 40 μm. Mean lumen diameter of the vessels inducing FCE was 131 ± 33 μm. Conclusions FCE are relatively frequently encountered morphologic features of elderly patients with ARMD, high myopia, and ARCA, and have a distinct clinical and imaging morphology which differs from classically described chorioretinal folds. The lesions may commonly be mistaken for pigment epithelial detachments on ophthalmoscopy, may be associated with CNV in fellow eyes, and have a characteristic SD-OCT appearance.

show abstract

“…Varix is defined as an elongated, dilated, typically tortuous vein reported in the eyelid, conjunctiva, iris, optic disk, and orbit. [12345678] In review of the literature, iris varices have only been described in nine case reports misdiagnosed as capillary hemangiomas, cavernous hemangiomas, and arteriovenous malformations. [91011121314151617] Consequently, these cases were treated by observation, excision, and laser photocoagulation.…”

mentioning

confidence: 99%

Iris varix: 10-year experience with 28 eyes

Jain

Finger

2019

Indian J Ophthalmol

View full text Add to dashboard Cite

Purpose: The purpose of this study is to describe the clinical characteristics, multimodality imaging findings, and clinical course of iris varices. Methods: Retrospective, noncomparative, observational case series of 28 eyes of 26 patients with iris varices, diagnosed between 2007 and 2017, has been used. Results: The mean (±SD) age was 58.3 ± 12.5 years (median 57.5, range 37–81). Patients were 57.7% male and 27% hypertensive. Varices were bilateral in two patients. The mean and median visual acuities were both 20/20 (range 20/16–20/40). Intraocular pressures were 16 mmHg (10–23 mmHg). Secondary glaucoma did not occur. The inferotemporal iris quadrant was affected in 75%. A single varix was seen in 64% and 36% appeared multiple. Varix orientation was radial in 57% and circumferential in 21%. Combined radial and circumferential varix orientation was noted in 18%. One had independent radial and circumferential varices in separate quadrants. A single episcleral sentinel blood vessel directed to the varix was present in 36%. Ultrasound biomicroscopy (UBM) showed a slightly increased mean iris thickness of 0.8 mm and multiple echolucent iris stromal vascular channels. Iris angiography showed no leakage of dye. Managed by observation over a mean follow-up of 37.7 months (range, 3–129), 96.4% eyes were stable and one (3.6%) regressed. No corectopia, ectropion uveae, hyphema, or metachronous anterior segment benign or malignant tumors occurred. Conclusion: Iris varix is primarily located in the inferotemporal quadrant and not associated with dysmorphic pupillary findings, progression, secondary glaucoma, or malignancy. Iris varices were benign vasculopathies with no associated ocular or vision-related morbidity.

show abstract

Varix of the Vortex Vein Ampulla: A Small Case Series

Abstract: Varix of the vortex vein ampulla is an extremely rare condition. This diagnosis should be considered when an elevated choroidal lesion disappears when the fundus is examined with contact lens.

Cited by 17 publications

References 7 publications

Optical coherence tomographical findings in a case of varix of the vortex vein ampulla

Optical coherence tomographical findings in a case of varix of the vortex vein ampulla

Focal Choroidal Elevations: Localized Pigment Epithelial Contour Alterations due to Isolated Choroidal Vessels

Iris varix: 10-year experience with 28 eyes

Contact Info

Product

Resources

About