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Case Reports in Ophthalmological Medicine
Volume 2015 (2015), Article ID 960950, 4 pages
http://dx.doi.org/10.1155/2015/960950
Case Report

Jugular Vein Insufficiency and Choroidal Neovascularization in Moderate Myopia: A New Unknown Factor of Additional Risk?

1Phlebolymphology Center, Monza Polyclinic, 20900 Monza, Italy
2Ophthalmology Center, Clinical Institutes “Milan City Studies”, 20131 Milan, Italy
3Biostatistics Unit, San Gaudenzio Clinic (Monza Polyclinic Group), 28100 Novara, Italy

Received 16 January 2015; Revised 3 April 2015; Accepted 4 April 2015

Academic Editor: Alexander A. Bialasiewicz

Copyright © 2015 Massimiliano Farina et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

To date, choroidal blood flow reduction in highly myopic eyes appears to be related to the development of choroidal neovascularization secondary to local reduction of arterial flow. Instead, no evidence of choroidal neovascularization was found in subjects with low or moderate myopia. The authors’ aim has been to encourage new studies regarding the potential role of chronic retinal venous congestion in the pathogenesis of choroidal neovascularization. In December 2011, a 54-year-old woman with moderate bilateral myopia had a sudden block upon swallowing while she was eating. Subsequently (January 2013) metamorphopsia in the left eye revealed macular degeneration with choroidal neovascularization. The related echo-color Doppler study of the neck veins, performed in November 2014, showed an atypical left jugular insufficiency associated with homolateral hypertension of the superior ophthalmic veins. This singular case highlights the necessity to further investigate the potential role of chronic alterations of intra- and extracranial venous drainage in the disruption of choroidal flow in myopic patients.