Vortex varix manifesting as choroidal melanoma

BMJ 2013; 346 doi: http://dx.doi.org/10.1136/bmj.f3947 (Published 25 June 2013) Cite this as: BMJ 2013;346:f3947
  1. Stewart N Gillan, specialty registrar ,
  2. Stuart T D Roxburgh, consultant ophthalmologist
  1. 1Department of Ophthalmology, Ninewells Hospital and Medical School, Dundee DD1 9SY, UK
  1. stewartgillan{at}nhs.net

A 45 year old man was referred by his optometrist with a suspected choroidal melanoma in the right eye (black arrow). This lesion increased in size on upgaze and disappeared completely with gentle digital pressure applied to the globe (white arrow). The dynamic nature of this lesion is in keeping with a varix of the vortex vein, and is entirely benign and visually asymptomatic. This condition can, however, be easily mistaken for a choroidal melanoma or secondary tumour.


Cite this as: BMJ 2013;346:f3947


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