The role of vortex veins in the pathogenesis of central serous chorioretinopathy

VernacularTitle:涡静脉在中心性浆液性脉络膜视网膜病变发病机制中作用的研究进展
Author: Bei XIAO ¹ ; Yanping SONG ; Ming YAN ; Ya YE ; Zhen HUANG
Author Information

1. 南方医科大学第一临床医学院,　广州　510515
Keywords: Central serous chorioretinopathy; Vortex vein; Pathogenesis; Review
From: Chinese Journal of Ocular Fundus Diseases 2024;40(4):319-323
CountryChina
Language:Chinese
Abstract: Central serous chorioretinopathy (CSC) is one of the main causes of impaired visual function in middle-aged men. CSC is characterized by a thickening of the choroid and hyperpermeability of the choroidal vessels, resulting in serous subretinal fluid. The pathogenesis of CSC is not fully understood. Since the introduction of indocyanine green angiography, the detection of the influence of the vortex veins in CSC, it has been established that the presence of a thick choroid may be caused by congestion of the vortex vein, resulting in new choroidal drainage through a vortex vein anastomosis. The study of vortex venous blood hemodynamics has elucidated the new concept of the pathogenesis of CSC, deepened our understanding of the disease, and provided a theoretical basis for new treatment methods. With a better understanding of the pathogenesis of CSC, we expect to be able to stratify patients at risk in the clinic and evaluate optimized treatment options for patients with CSC