title: UNUSUAL POSTERIOR VARIX OF A VORTEX VEIN AMPULLA.
abstract: OBJECTIVE
  We describe a patient with an unusually posterior varix of a vortex vein ampulla.
  
  
  METHODS
  Case report.
  
  
  RESULTS
  An unusually posterior varix of a vortex vein ampulla mimicking a choroidal neoplasm was identified. The diagnosis was obscured by the presence of overlying drusen. Through a combination of indocyanine green angiography and enhanced depth imaging optical coherence tomography, the varix was identified as an engorged vascular process correlating to ophthalmoscopic and tomographic examination. Collapse of the varix after direct digital pressure on the globe was observed on enhanced depth imaging optical coherence tomography further confirming our diagnosis.
  
  
  CONCLUSIONS
  Varices of vortex vein ampullas may be incorrectly diagnosed as choroidal neoplasms. Using a combination of multimodal imaging and dynamic maneuvering, varices can be correctly identified.
authors.affiliation: *Vitreous Retina Macula Consultants of New York, New York, New York; †Department of Ophthalmology, Manhattan Eye, Ear and Throat Hospital, New York, New York; ‡Singapore National Eye Center/Singapore Eye Research Institute, Singapore; and §Department of Ophthalmology, Columbia University, New York, New York.
authors.forename: Quraish
authors.initials: Q
authors.lastname: Ghadiali
authors.forename: Anna
authors.initials: A
authors.lastname: Tan
authors.forename: K Bailey
authors.initials: KB
authors.lastname: Freund
mesh_terms: D000369:Aged, 80 and over; D002829:Choroid / Q000098:blood supply*; D002830:Choroid Neoplasms / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D012164:Retinal Diseases / Q000175:diagnosis*; D014648:Varicose Veins / Q000175:diagnosis*