Pachychoroid diseases of the macula
Roberto Gallego-Pinazo1, Rosa Dolz-Marco1, Francisco Gómez-Ulla2
1Unit of Macula, Department of Ophthalmology, University and Polytechnic Hospital La Fe, Valencia, Spain ; RETICS Oftared, Health Institute Carlos III, Madrid, Spain.
Summary
Pachychoroid refers to thickened choroids with abnormal vessels, linked to various retinal diseases. This review details the pachychoroid spectrum and imaging features in macular disorders.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Choroidal Imaging
Background:
- Optical coherence tomography advances reveal pathologic choroidal changes in retinal diseases.
- Pachychoroid describes increased choroidal thickness with dilated vessels and architectural alterations.
- Central serous chorioretinopathy is a key example of a pachychoroid-related macular disorder.
Purpose of the Study:
- To review the current understanding of the pachychoroid spectrum.
- To outline hallmark features of pachychoroid entities using multimodal imaging.
Main Methods:
- Literature review of studies on pachychoroid spectrum disorders.
- Analysis of multimodal imaging findings in pachychoroid diseases.
Main Results:
- The pachychoroid spectrum encompasses several macular disorders characterized by choroidal thickening.
- Multimodal imaging reveals specific structural alterations and vascular changes associated with pachychoroid conditions.
Conclusions:
- Pachychoroid is a significant finding in various retinal diseases.
- Understanding pachychoroid features through imaging is crucial for diagnosing and managing related macular disorders.
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