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Fundus examination in a 25-year-old myopic man with a refractive error of -10DS, -1.50 DC × 10°, 6/9, N6 in both eyes showed normal retinal periphery, tilted optic disc with peripapillary atrophy and dilated submacular vasculature in the RE. [Fig. 1a] Sequential indocyanine green angiography images showed the filling and emptying of the dye in a macular vortex vein in the RE (white arrow) [Fig. 1b and c]. The ampulla of the vortex vein was seen nasal to the fovea. Spectral-domain optical coherence tomography demonstrated dilated choroidal vessels at the posterior pole (yellow arrow) [Fig. 1d].

Figure 1.

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Posterior vortex vein in high myopia

Posterior vortex veins (PVV) may be a prominent incidental finding seen in nearly one-quarter of highly myopic eyes. PVV is usually found exiting the eye either at the margin of the optic nerve head or at the macula on indocyanine green angiography.[1,2] Eyes with PVV have reduced axial length, posterior staphyloma, and higher incidence of choroidal neovascularization-related macular atrophy.[2,3] The imaging modality routinely used to identify PVV is ultrawide indocyanine green angiography and more recently optical coherence tomography angiography.[2,4]

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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.