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    New insights on 'pachychoroid spectrum'

    Central serous chorioretinopathy (CSC) is the diagnosis that usually comes to mind when retinal specialists see an eye with choroidal thickening. New insights on choroidal pathology obtained using advanced imaging techniques, however, have led to the description of a broader group of pachychoroid diseases, said K. Bailey Freund, MD, at the inaugural Retina World Congress.

    In addition to CSC, this “pachychoroid spectrum” includes pachychoroid pigment epitheliopathy (PPE), focal choroidal excavation (FCE), pachychoroid neovasculopathy (PCN), and polypoidal choroidal vasculopathy (PCV).

     

    Multimodal imaging of pachychoroid pigment epitheliopathy. (Figure courtesy of K. Bailey Freund, MD)

    Multimodal imaging of pachychoroid neovasculopathy/polypoidal choroidal vasculopathy. (Figure courtesy of K. Bailey Freund, MD)

     

     

     

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