Evidence map›Paper›PMID 41385092›Full record

ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2026

Pachychoroid pigment epitheliopathy and macular venous outflow abnormalities: the effects of venous stasis.

Emanuele Crincoli, Riccardo Sacconi, Fiammetta Catania, Luigi Russo, Lea Querques, Giuseppe Querques

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Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Emanuele CrincoliDepartment of Ophthalmology, "Fondazione Policlinico Universitario A. Gemelli IRCCS", Rome, Italy.
Riccardo SacconiDepartment of Ophthalmology, IRCCS San Raffaele Scientific Institute, University Vita Salute San Raffaele, Via Olgettina 60, Milan, 20132, Italy.
Fiammetta CataniaOphthalmology department, Rothschild Foundation Hospital, 29 Rue Manin, Paris, 75019, France.
Luigi RussoDepartment of Ophthalmology, IRCCS San Raffaele Scientific Institute, University Vita Salute San Raffaele, Via Olgettina 60, Milan, 20132, Italy.
Lea QuerquesDepartment of Ophthalmology, IRCCS San Raffaele Scientific Institute, University Vita Salute San Raffaele, Via Olgettina 60, Milan, 20132, Italy.
Giuseppe QuerquesDepartment of Ophthalmology, IRCCS San Raffaele Scientific Institute, University Vita Salute San Raffaele, Via Olgettina 60, Milan, 20132, Italy. giuseppe.querques@hotmail.it.ORCID http://orcid.org/0000-0002-3292-9581

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the association between the presence of vortex vein anastomoses (VVAs) at the posterior pole and the integrity of the retinal pigment epithelium (RPE) and ellipsoid zone (EZ) in eyes affected by pachychoroid pigment epitheliopathy (PPE).

methodsThis retrospective case-control study included eyes diagnosed with PPE, divided into two groups based on 30° early-phase indocyanine green angiography (ICGA): the VVA group (eyes showing VVAs at the posterior pole) and the No VVA group (no VVAs detected). Baseline and 1-year follow-up spectral-domain optical coherence tomography (OCT) scans were analyzed to assess RPE and EZ reflectivity. Additional outer retinal features, such as the presence of pigment epithelial detachment (PED), pachydrusen, and outer nuclear layer (ONL) thickness, were also evaluated.

resultsOf the 47 included eyes, 31 (65.9%) were assigned to the VVA group and 16 (34.1%) to the No VVA group. The VVA group showed a significantly higher prevalence of contralateral central serous chorioretinopathy (CSCR), pachydrusen (p = 0.028), and multifocal/diffuse choroidal vascular hyperpermeability (CVH) (p = 0.045), while the No VVA group had a higher prevalence of bilateral PPE (p = 0.045). No significant differences were observed in ONL thickness or PED prevalence. At baseline, RPE and EZ reflectivity were significantly lower in the VVA group. Moreover, only the VVA group exhibited a significant reduction in RPE and EZ reflectivity over time.

conclusionsThe presence of VVAs at the posterior pole may represent a risk factor for progressive RPE and EZ degeneration in PPE, and may be associated with the development of CSCR and pachydrusen in these eyes.

Indexed as

Central Serous ChorioretinopathyChoroidFluorescein AngiographyMacula LuteaRetinal Pigment EpitheliumRetinal VeinTomography, Optical CoherenceVisual AcuityAdultCase-Control StudiesFemaleFollow-Up StudiesFundus OculiHumansMaleMiddle AgedChoroidal hyperpermeabilityIndocyanine green angiographyPachychoroidPachydrusenVortex veins anastomosis

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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.