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Images in Medicine
34 (
6
); 373-373
doi:
10.25259/NMJI_57_21

Vortex vein ampullae seen in oculocutaneous albinism on ultrawide field imaging without angiography

Department of Vitreo-Retinal Services Aravind Eye Hospital and Post Graduate Institute of Ophthalmology Madurai, Tamil Nadu, India
Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

To cite: Mishra C, Kohli P, Babu N. Vortex vein ampullae seen in oculocutaneous albinism on ultrawide field imaging without angiography. Natl Med J India 2021;34:373.

A 27-year-old man presented with defective vision and nystagmus since childhood in both eyes. His best-corrected vision was 20/80 in both eyes, with a refractive error of –2DS. Anterior segment examination showed a transillumination iris defect. Posterior segment examination showed hypopigmented albinotic fundus with prominent background choroidal vasculature, multiple vortex vein ampullae near the equator and dilated posterior vortex vein forming ampulla in the peripapillary region (Fig. 1). He was diagnosed as oculocutaneous albinism with moderate myopia. He was advised spectacles and counselled about low-vision aids.

FIG 1.: Ultrawide field image (Clarus 500, Carl Zeiss Meditech, Dublin, USA) showing hypopigmented albinotic fundus with prominent background choroidal vasculature, multiple vortex vein ampullae near the equator and dilated posterior vortex vein forming ampulla in the peripapillary region

Although indocyanine green angiography is usually required to visualize the vortex vein ampullae, they can sometimes be visualized on fundoscopy in an albinotic fundus.1,2 Wide-angle imaging systems can be used to document these ampullae.2

Conflicts of interest

None declared.

References

  1. , , , . Detection of posterior vortex veins in eyes with pathologic myopia by ultra-widefield indocyanine green angiography. Br J Ophthalmol. 2017;101:1179-84.
    [CrossRef] [PubMed] [Google Scholar]
  2. , . Choroidal vasculature without angiography. Indian J Ophthalmol. 2019;67:141.
    [CrossRef] [PubMed] [Google Scholar]

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