{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T04:53:42Z","timestamp":1781844822970,"version":"3.54.5"},"reference-count":18,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Macular vortex veins are a rare anatomical variant that can occur in highly myopic eyes. Their pathogenesis remains controversial, with some studies suggesting a congenital origin and others proposing acquired changes secondary to myopic progression. The presence of posterior staphyloma has been closely associated with these venous anomalies. Here, we report a case of macular vortex vein in a highly myopic eye, evaluated using multimodal imaging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 51-year-old myopic female presented with a 2-week history of floaters in the right eye. She denied any prior ocular history other than refractive error, as well as any systemic chronic diseases or ocular trauma. Best-corrected visual acuity was 20\/20 in the right eye and 20\/25 in the left eye. Myopia was \u22126.5 D in the right eye and \u22126.75 D in the left eye. Ultra-widefield color fundus photography revealed dilation of the large choroidal vessels in the macular region of the left eye, with a prominent vortex vein ampulla. Infrared reflectance imaging clearly demonstrated the vortex vein branches converging toward the macula. Indocyanine green angiography (ICGA) showed centripetal convergence, well-defined contours, and unobstructed drainage of the macular vortex veins. Swept-source optical coherence tomography angiography (SS-OCTA) further revealed the medium-to-large choroidal vessel architecture. En face OCTA of the large-vessel choroidal slab clearly delineated the luminal structure of the macular vortex veins. Cross-sectional B-scans with flow overlay demonstrated the morphology of the vortex vein lumen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Macular vortex veins can occur in highly myopic eyes. Multimodal imaging, especially SS-OCTA, helps visualize this vascular variant clearly. Recognizing this benign finding is important to avoid misdiagnosis and unnecessary treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1841332","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T04:28:57Z","timestamp":1781843337000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Multimodal imaging of a macular vortex vein in a highly myopic eye"],"prefix":"10.3389","volume":"13","author":[{"given":"Zhilin","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, The Third People\u2019s Hospital of Chengdu, Southwest Jiaotong University","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, The Third People\u2019s Hospital of Chengdu, Southwest Jiaotong University","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xingyu","family":"He","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, The Third People\u2019s Hospital of Chengdu, Southwest Jiaotong University","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keke","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, The Third People\u2019s Hospital of Chengdu, Southwest Jiaotong University","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ting","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, The Third People\u2019s Hospital of Chengdu, Southwest Jiaotong University","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"821","DOI":"10.1016\/0002-9394(67)92225-8","article-title":"Fundus appearance in normal eyes. 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