Evidence map›Paper›PMID 39762441›Full record

ArticleEye (London, England)2025

Long-term effect of photodynamic therapy on choroidal vascularity index versus choroidal thickness as biomarkers for chronic central serous chorioretinopathy.

Patricia T A Bui, Martin Stattin, Daniel Ahmed-Balestra, Stefan Kickinger, Katharina Krepler, Siamak Ansari-Shahrezaei

Abstract read
In one paragraph

Article in Eye (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Patricia T A BuiKarl Landsteiner Institute for Retinal Research and Imaging, Vienna, Austria.ORCID http://orcid.org/0000-0001-5625-1755
Martin StattinKarl Landsteiner Institute for Retinal Research and Imaging, Vienna, Austria.
Daniel Ahmed-BalestraKarl Landsteiner Institute for Retinal Research and Imaging, Vienna, Austria.
Stefan KickingerKarl Landsteiner Institute for Retinal Research and Imaging, Vienna, Austria.
Katharina KreplerKarl Landsteiner Institute for Retinal Research and Imaging, Vienna, Austria.
Siamak Ansari-ShahrezaeiKarl Landsteiner Institute for Retinal Research and Imaging, Vienna, Austria. Siamak.ansarishahrezaei@gesundheitsverbund.at.ORCID http://orcid.org/0000-0001-8032-4686

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the long-term impact of half-fluence photodynamic therapy (PDT) on chorioretinal architecture in chronic central serous chorioretinopathy (cCSCR) through novel choroidal vascularity index (CVI) versus previously established subfoveal choroidal thickness (SFCT).

methodsThis post-hoc analysis included prospectively collected swept-source optical coherence tomography (SS-OCT) images of a total of 29 cCSCR and fellow eyes (FE), acquired before, one and 12 months after PDT. CVI, total choroidal area (TCA), luminal area (LA) and stromal area (SA) were calculated using validated binarization technique. Central macular thickness (CMT), SFCT and subretinal fluid (SRF) were assessed. Longitudinal changes following PDT and associations between all parameters were investigated.

resultsCVI, TCA, LA, SFCT and CMT significantly decreased at month 1 (all p < 0.001). From month 1 to 12, CVI (p < 0.001) and LA (p = 0.01) increased but remained significantly lower than at baseline (p = 0.001 and p < 0.001). SFCT and CMT remained stable (all p = 1.0). SA and all FE parameters showed no significant changes at any time point. Comparing affected and FE, there were significant CVI differences at baseline (p < 0.001), month 1 (p = 0.01) and 12 (p < 0.001). SRF was significantly associated with higher CVI (p < 0.001), LA (p = 0.031), SFCT (p = 0.038).

conclusionHalf-fluence PDT significantly affects choroidal architecture, with sustained CVI and SFCT reductions 12 months post-treatment. Use of CVI as both a treatment response and disease activity marker is merited. There is a large discrepancy between CVI and SFCT, suggesting they each represent different anatomic responses. CVI proves to be a more specific and reliable CSCR biomarker than previously established SFCT.

Indexed as

Central Serous ChorioretinopathyChoroidPhotochemotherapyAdultAgedBiomarkersChronic DiseaseFemaleFluorescein AngiographyFollow-Up StudiesHumansMaleMiddle AgedPhotosensitizing AgentsProspective StudiesTomography, Optical CoherenceBiomarkersPhotosensitizing AgentsVerteporfin

Identifiers

PMID39762441
PMCPMC11978956

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.