PMID- 32881785 OWN - NLM STAT- MEDLINE DCOM- 20211209 LR - 20230817 IS - 1539-2864 (Electronic) IS - 0275-004X (Linking) VI - 41 IP - 5 DP - 2021 May 1 TI - ROLE OF DILATED SUBFOVEAL CHOROIDAL VEINS IN EYES WITH MYOPIC MACULAR NEOVASCULARIZATION. PG - 1063-1070 LID - 10.1097/IAE.0000000000002970 [doi] AB - PURPOSE: To investigate the dilated choroidal veins (DCVs) at or around myopic macular neovascularizations (MNVs) and to determine whether there is a hemodynamic relationship between them. METHODS: Fifty-eight eyes of 57 patients with myopic MNVs were examined. Dilated choroidal veins were defined as choroidal veins whose diameter was 2X larger than adjacent veins. Indocyanine green angiography and swept-source optical coherence tomography images were reviewed to detect DCVs that crossed the subfoveal area. The filling sequence of the DCVs and MNVs was determined. RESULTS: Patients' mean age was 71.4 +/- 10.6 years. The mean axial length was 29.3 +/- 1.8 mm. Dilated choroidal veins below or around the MNV were found in 17 eyes (29.3%). Emissaries of the short posterior ciliary arteries were seen at or around MNVs in 8 of the 17 eyes. In these eyes, the short posterior ciliary artery was filled first or almost simultaneously with the filling of the MNV, followed by a laminar filling of the DCVs. In one eye, afferent arterioles from the short posterior ciliary arteries and efferent venules connected to DCVs were seen. CONCLUSION: Dilated choroidal veins are present below or around MNVs in about 30% of eyes with myopic MNVs. Our findings suggest that an MNV might be a vascular unit consisting of short posterior ciliary arteries, afferent arterioles, efferent venules, and DCVs. FAU - Xie, Shiqi AU - Xie S AD - Department of Ophthalmology and Visual Science, Tokyo Medical and Dental University, Tokyo, Japan . FAU - Fang, Yuxin AU - Fang Y FAU - Du, Ran AU - Du R FAU - Onishi, Yuka AU - Onishi Y FAU - Yokoi, Tae AU - Yokoi T FAU - Moriyama, Muka AU - Moriyama M FAU - Watanabe, Takashi AU - Watanabe T FAU - Ohno-Matsui, Kyoko AU - Ohno-Matsui K LA - eng PT - Journal Article PL - United States TA - Retina JT - Retina (Philadelphia, Pa.) JID - 8309919 SB - IM MH - Aged MH - Aged, 80 and over MH - Choroid/*blood supply MH - Dilatation, Pathologic/diagnosis/etiology MH - Female MH - Fluorescein Angiography/*methods MH - Follow-Up Studies MH - Fovea Centralis/*blood supply/diagnostic imaging MH - Fundus Oculi MH - Humans MH - Male MH - Middle Aged MH - Myopia/*complications MH - Retinal Neovascularization/*diagnosis/etiology MH - Retinal Vein/*diagnostic imaging MH - Retrospective Studies MH - Tomography, Optical Coherence/*methods EDAT- 2020/09/04 06:00 MHDA- 2021/12/15 06:00 CRDT- 2020/09/04 06:00 PHST- 2020/09/04 06:00 [pubmed] PHST- 2021/12/15 06:00 [medline] PHST- 2020/09/04 06:00 [entrez] AID - 00006982-202105000-00021 [pii] AID - 10.1097/IAE.0000000000002970 [doi] PST - ppublish SO - Retina. 2021 May 1;41(5):1063-1070. doi: 10.1097/IAE.0000000000002970.