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Vol. 96. Issue 3.
Pages 157-161 (March 2021)
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Vol. 96. Issue 3.
Pages 157-161 (March 2021)
Short communication
Peripapillary pachychoroidopathy
Paquicoroidopatía peripapilar
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16
J.L. Sánchez-Vicentea, A.C. Martínez-Borregoa,
Corresponding author
anacmartinezborrego@gmail.com

Corresponding author.
, F.E. Molina-Socolab, C. Franco-Ruedasa, M.A. Espiñeira Periñána, F. López-Herreroa
a Oftalmología, Hospital Universitario Virgen del Rocío, Sevilla, Spain
b Oftalmología, Hospital Universitario Juan Ramón Jiménez, Huelva, Spain
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Abstract

A study was made on 8 eyes of 5 patients between 47 and 65 years of age with peripapillary pachychoroidopathy. They all presented with a serous detachment of the neuroepithelium or retinal pigment epithelium in the nasal macular region that extended to the optic disc, with an increase in choroidal thickness at that level. An analysis was made of the choroidal thickness using high penetration optical coherence tomography, as well as their outcome in a period between 12 and 48 months.

Peripapillary pachychoroidopathy is a distinct variant of the pachychoroid disease spectrum. It must be distinguished from other disorders, such as inflammatory or neuro-ophthalmological conditions, that may manifest in the vicinity of the optic disc.

When faced with a patient with suspected pachychoroidopathy, a specific study of the papillary area should be considered using high penetration optical coherence tomography.

Keywords:
Peripapillary pachychoroidopathy
Pachychoroid
Choroidal neovascularisation
Optical coherence tomography
Resumen

Estudiamos 8 ojos de 5 pacientes de entre 47 y 65 años de edad con paquicoroidopatía peripapilar. Todos ellos presentaron desprendimiento seroso del neuroepitelio o del epitelio pigmentario de la retina en la región macular nasal que se extendía hacia el disco óptico, con aumento del grosor coroideo a ese nivel. Analizamos el grosor coroideo y la evolución que presentaron a lo largo de entre 12 y 48 meses, mediante tomografía de coherencia óptica de alta penetración.

La paquicoroidopatía peripapilar constituye una variedad dentro del espectro de las enfermedades incluidas dentro de la paquicoroidopatía, que debe ser distinguida de otras entidades que pueden manifestarse en vecindad al disco óptico, como procesos inflamatorios o neuro-oftalmológicos.

Ante un paciente con sospecha de paquicoroidopatía, deberíamos considerar el estudio específico del área papilar mediante tomografía de coherencia óptica de alta penetración.

Palabras claves:
Paquicoroidopatía peripapilar
Paquicoroides
Neovascularización coroidea
Tomografía de coherencia óptica

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