Vortex Veins in Eyes With Pachychoroid Spectrum Disorders Evaluated by the Adjusted Reverse 3-Dimensional Projection Model

Purpose: To compare the distribution of vortex vein ampulla (VVA) between pachychoroid spectrum disorder (PSD) and controls. Design: A single-center, case-control study. Participants: This study included 75 PSD, 35 fellow, and 65 control eyes. Methods: We quantified VVA distribution using a 3-dimens...

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Main Authors: Ryoh Funatsu, MD, Shozo Sonoda, MD, PhD, Hiroto Terasaki, MD, PhD, Hideki Shiihara, MD, PhD, Mariko Hirokawa, ME, Ji Yuanting, ME, Yasushi Tanabe, ME, Taiji Sakamoto, MD, PhD
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Ophthalmology Science
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666914523000520
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author Ryoh Funatsu, MD
Shozo Sonoda, MD, PhD
Hiroto Terasaki, MD, PhD
Hideki Shiihara, MD, PhD
Mariko Hirokawa, ME
Ji Yuanting, ME
Yasushi Tanabe, ME
Taiji Sakamoto, MD, PhD
author_facet Ryoh Funatsu, MD
Shozo Sonoda, MD, PhD
Hiroto Terasaki, MD, PhD
Hideki Shiihara, MD, PhD
Mariko Hirokawa, ME
Ji Yuanting, ME
Yasushi Tanabe, ME
Taiji Sakamoto, MD, PhD
author_sort Ryoh Funatsu, MD
collection DOAJ
description Purpose: To compare the distribution of vortex vein ampulla (VVA) between pachychoroid spectrum disorder (PSD) and controls. Design: A single-center, case-control study. Participants: This study included 75 PSD, 35 fellow, and 65 control eyes. Methods: We quantified VVA distribution using a 3-dimensional reverse projection model corrected for image distortion. We investigated the distribution of major drainage veins (MDV), in which macular Haller's vessels directly influx. Main Outcome Measures: The mean distances from the optic disc to VVAs and the mean angles between VVAs and the fovea-disc line. Results: The PSD group had significantly fewer VVA in infranasal sector (PSD, fellow, control; 1.6 ± 0.6, 1.8 ± 0.6, 1.9 ± 0.6, respectively, P = 0.026). In supralateral sector, for PSD, fellows, and controls, the mean distances from the optic disc to VVAs were 14.1 ± 1.0 mm, 14.1 ± 1.1 mm, and 13.6 ± 1.4 mm, respectively, and were significantly farther in PSD than in controls (P = 0.023). The mean angles between VVAs and the fovea-disc line were 64.8 ± 5.9°, 66.4 ± 6.4°, and 61.7 ± 6.4°, respectively, and were significantly higher in PSD and fellows than in controls (P = 0.008). The mean distances from the optic disc to MDV in supratemporal sector were 14.1 ± 1.2 and 13.7 ± 1.2 in eyes whose Haller's vessels extended beyond the fovea-disc line (asymmetry), and those that did not, respectively, with the asymmetric eyes significantly farther (P = 0.016). Conclusions: The VVA position in supralateral sector was farther and higher in PSD than in controls, suggesting that the distribution of VVA may be associated with the development of PSD. Financial Disclosure(s): Proprietary or commercial disclosure may be found after the references.
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spelling doaj.art-c71d052b428748278f258a8fb8f17f242023-12-24T04:47:00ZengElsevierOphthalmology Science2666-91452023-12-0134100320Vortex Veins in Eyes With Pachychoroid Spectrum Disorders Evaluated by the Adjusted Reverse 3-Dimensional Projection ModelRyoh Funatsu, MD0Shozo Sonoda, MD, PhD1Hiroto Terasaki, MD, PhD2Hideki Shiihara, MD, PhD3Mariko Hirokawa, ME4Ji Yuanting, ME5Yasushi Tanabe, ME6Taiji Sakamoto, MD, PhD7Department of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, JapanDepartment of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, JapanDepartment of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, JapanDepartment of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, JapanSystem Development Department, Nikon Corporation, Yokohama, JapanSystem Development Department, Nikon Corporation, Yokohama, JapanSystem Development Department, Nikon Corporation, Yokohama, JapanDepartment of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan; Correspondence: Taiji Sakamoto, MD, PhD, Department of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.Purpose: To compare the distribution of vortex vein ampulla (VVA) between pachychoroid spectrum disorder (PSD) and controls. Design: A single-center, case-control study. Participants: This study included 75 PSD, 35 fellow, and 65 control eyes. Methods: We quantified VVA distribution using a 3-dimensional reverse projection model corrected for image distortion. We investigated the distribution of major drainage veins (MDV), in which macular Haller's vessels directly influx. Main Outcome Measures: The mean distances from the optic disc to VVAs and the mean angles between VVAs and the fovea-disc line. Results: The PSD group had significantly fewer VVA in infranasal sector (PSD, fellow, control; 1.6 ± 0.6, 1.8 ± 0.6, 1.9 ± 0.6, respectively, P = 0.026). In supralateral sector, for PSD, fellows, and controls, the mean distances from the optic disc to VVAs were 14.1 ± 1.0 mm, 14.1 ± 1.1 mm, and 13.6 ± 1.4 mm, respectively, and were significantly farther in PSD than in controls (P = 0.023). The mean angles between VVAs and the fovea-disc line were 64.8 ± 5.9°, 66.4 ± 6.4°, and 61.7 ± 6.4°, respectively, and were significantly higher in PSD and fellows than in controls (P = 0.008). The mean distances from the optic disc to MDV in supratemporal sector were 14.1 ± 1.2 and 13.7 ± 1.2 in eyes whose Haller's vessels extended beyond the fovea-disc line (asymmetry), and those that did not, respectively, with the asymmetric eyes significantly farther (P = 0.016). Conclusions: The VVA position in supralateral sector was farther and higher in PSD than in controls, suggesting that the distribution of VVA may be associated with the development of PSD. Financial Disclosure(s): Proprietary or commercial disclosure may be found after the references.http://www.sciencedirect.com/science/article/pii/S2666914523000520Vortex veinPachychoroid spectrum disorderCentral serous chorioretinopathy
spellingShingle Ryoh Funatsu, MD
Shozo Sonoda, MD, PhD
Hiroto Terasaki, MD, PhD
Hideki Shiihara, MD, PhD
Mariko Hirokawa, ME
Ji Yuanting, ME
Yasushi Tanabe, ME
Taiji Sakamoto, MD, PhD
Vortex Veins in Eyes With Pachychoroid Spectrum Disorders Evaluated by the Adjusted Reverse 3-Dimensional Projection Model
Ophthalmology Science
Vortex vein
Pachychoroid spectrum disorder
Central serous chorioretinopathy
title Vortex Veins in Eyes With Pachychoroid Spectrum Disorders Evaluated by the Adjusted Reverse 3-Dimensional Projection Model
title_full Vortex Veins in Eyes With Pachychoroid Spectrum Disorders Evaluated by the Adjusted Reverse 3-Dimensional Projection Model
title_fullStr Vortex Veins in Eyes With Pachychoroid Spectrum Disorders Evaluated by the Adjusted Reverse 3-Dimensional Projection Model
title_full_unstemmed Vortex Veins in Eyes With Pachychoroid Spectrum Disorders Evaluated by the Adjusted Reverse 3-Dimensional Projection Model
title_short Vortex Veins in Eyes With Pachychoroid Spectrum Disorders Evaluated by the Adjusted Reverse 3-Dimensional Projection Model
title_sort vortex veins in eyes with pachychoroid spectrum disorders evaluated by the adjusted reverse 3 dimensional projection model
topic Vortex vein
Pachychoroid spectrum disorder
Central serous chorioretinopathy
url http://www.sciencedirect.com/science/article/pii/S2666914523000520
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