Related Experiment Videos
Incidence and Risk Factors for Progression of Pachychoroid Subtype
Yu Jeat Chong1,2, Angie Hon Chi Fong3,4,5, Wendy Mei Hua Wong6
1Singapore Eye Research Institute, Singapore National Eye Centre, Singapore.
JAMA Ophthalmology
|August 13, 2026
Summary
Progression within pachychoroid subtypes is infrequent, with rare neovascularization. Shallow, irregular retinal pigment epithelium elevation may predict neovascularization risk in pachychoroid disease.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Choroidal Imaging
Background:
- Pachychoroid disease progression and risk factors are not well understood.
- Accurate risk stratification and follow-up strategies are limited.
Purpose of the Study:
- To evaluate progression and diagnostic transitions within pachychoroid subtypes.
- To identify associated risk factors for progression.
Main Methods:
- Prospective, multicenter, observational cohort study.
- Included participants with pachychoroid subtype (SFCT ≥ 300 µm).
- Followed 205 eyes for 2 years with multimodal imaging.
Main Results:
- Progression occurred in 7.3% of eyes; neovascularization in 7 eyes.
- Neovascularization exclusively occurred in eyes with shallow, irregular RPE elevation.
- No significant changes in BCVA or SFCT observed over 2 years.
Conclusions:
- Progression and neovascularization are infrequent in pachychoroid subtypes.
- Shallow, irregular RPE elevation is a potential predictor of neovascularization.
- Further studies are needed to confirm these findings.
Related Concept Videos
Diabetic Retinopathy
DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...
Glaucoma: Overview
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
Photoreceptors and Visual Pathways
At the molecular level, visual signals trigger transformations in photopigment molecules, resulting in changes in the photoreceptor cell's membrane potential. The photon's energy level is denoted by its wavelength, with each specific wavelength of visible light associated with a distinct color. The spectral range of visible light, classified as electromagnetic radiation, spans from 380 to 720 nm. Electromagnetic radiation wavelengths exceeding 720 nm fall under the infrared category, whereas...
Tumor Progression
Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
Open Angle Glaucoma: Treatment
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...