Non-invasive imaging of a choroidal macrovessel
Purpose: To describe novel anatomic findings of an apparent choroidal macrovessel, originally misdiagnosed as a choroidal tumor, using non-invasive imaging tools. Observations: Initial ophthalmic examination revealed an elevated hypopigmented choroidal mass in the macular area, with a serpentine tra...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-12-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993620301869 |
| _version_ | 1819061659870691328 |
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| author | Oscar Otero-Marquez Gerardo Ledesma-Gil Sharmina Alauddin R. Theodore Smith |
| author_facet | Oscar Otero-Marquez Gerardo Ledesma-Gil Sharmina Alauddin R. Theodore Smith |
| author_sort | Oscar Otero-Marquez |
| collection | DOAJ |
| description | Purpose: To describe novel anatomic findings of an apparent choroidal macrovessel, originally misdiagnosed as a choroidal tumor, using non-invasive imaging tools. Observations: Initial ophthalmic examination revealed an elevated hypopigmented choroidal mass in the macular area, with a serpentine track extending temporally to the equator. Enhanced depth imaging optical coherence tomography (EDI-OCT) revealed an optically hollow lesion just outside the choroid-scleral junction (CSJ), indenting the retina and compressing the choroid from the scleral side. Optical coherence tomography angiography (OCTA) at the choroidal level showed relative low flow within the lesion. En face OCT at the level of the choroid demonstrated similar reflectivity to the physiological adjacent choroidal vessels. Conclusion and importance: Non-invasive imaging can be used to demonstrate the presence and anatomy of a choroidal macrovessel. OCTA is presented as a useful diagnostic imaging test that can distinguish this lesion from alternative diagnoses without the use of dye injection. In addition to the previously published reports of such vessels in the choroid, we suggest a possible anatomic variant infra-choroidal location of a macrovessel and hypothesize its origin. |
| first_indexed | 2024-12-21T14:46:24Z |
| format | Article |
| id | doaj.art-c87e1cfa45e647bc96d0b674b3d90685 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-12-21T14:46:24Z |
| publishDate | 2020-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-c87e1cfa45e647bc96d0b674b3d906852022-12-21T19:00:01ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362020-12-0120100871Non-invasive imaging of a choroidal macrovesselOscar Otero-Marquez0Gerardo Ledesma-Gil1Sharmina Alauddin2R. Theodore Smith3Department of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai, New York, NY, USADepartment of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai, New York, NY, USADepartment of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai, New York, NY, USACorresponding author. New York Eye and Ear Infirmary of Mount Sinai, 310 E 14th St, New York, NY, 10003, USA.; Department of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai, New York, NY, USAPurpose: To describe novel anatomic findings of an apparent choroidal macrovessel, originally misdiagnosed as a choroidal tumor, using non-invasive imaging tools. Observations: Initial ophthalmic examination revealed an elevated hypopigmented choroidal mass in the macular area, with a serpentine track extending temporally to the equator. Enhanced depth imaging optical coherence tomography (EDI-OCT) revealed an optically hollow lesion just outside the choroid-scleral junction (CSJ), indenting the retina and compressing the choroid from the scleral side. Optical coherence tomography angiography (OCTA) at the choroidal level showed relative low flow within the lesion. En face OCT at the level of the choroid demonstrated similar reflectivity to the physiological adjacent choroidal vessels. Conclusion and importance: Non-invasive imaging can be used to demonstrate the presence and anatomy of a choroidal macrovessel. OCTA is presented as a useful diagnostic imaging test that can distinguish this lesion from alternative diagnoses without the use of dye injection. In addition to the previously published reports of such vessels in the choroid, we suggest a possible anatomic variant infra-choroidal location of a macrovessel and hypothesize its origin.http://www.sciencedirect.com/science/article/pii/S2451993620301869Choroidal macrovesselChoroid-scleral junctionEn face imagingOptical coherence tomographyOptical coherence tomography angiography |
| spellingShingle | Oscar Otero-Marquez Gerardo Ledesma-Gil Sharmina Alauddin R. Theodore Smith Non-invasive imaging of a choroidal macrovessel American Journal of Ophthalmology Case Reports Choroidal macrovessel Choroid-scleral junction En face imaging Optical coherence tomography Optical coherence tomography angiography |
| title | Non-invasive imaging of a choroidal macrovessel |
| title_full | Non-invasive imaging of a choroidal macrovessel |
| title_fullStr | Non-invasive imaging of a choroidal macrovessel |
| title_full_unstemmed | Non-invasive imaging of a choroidal macrovessel |
| title_short | Non-invasive imaging of a choroidal macrovessel |
| title_sort | non invasive imaging of a choroidal macrovessel |
| topic | Choroidal macrovessel Choroid-scleral junction En face imaging Optical coherence tomography Optical coherence tomography angiography |
| url | http://www.sciencedirect.com/science/article/pii/S2451993620301869 |
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