Longitudinal changes in choroidal thickness in high myopia: Correlation with maculopathy progression and visual outcomes Article Swipe
Matteo Mario Carlà
,
Francesco Boselli
,
Federico Giannuzzi
,
Emanuele Crincoli
,
Fiammetta Catania
,
Agnese Maria Perugini
,
Gloria Gambini
,
Stanislao Rizzo
,
Carlos Mateo
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1111/aos.70034
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1111/aos.70034
Purpose To evaluate longitudinal changes in choroidal thickness (CT) in highly myopic eyes and their correlation with myopic maculopathy progression and visual outcomes. Methods Retrospective cohort study on 1228 eyes from 781 highly myopic patients with a minimum 5‐year follow‐up (mean 11.5 ± 3.1 years). Myopic atrophic maculopathy (MAM) was graded according to ATN classification. Subfoveal CT was measured using spectral‐domain OCT with enhanced depth imaging. Staphyloma classification followed Curtin's system. Results Mean subfoveal CT at baseline was 54.3 ± 32.7 μm, with decreasing values by MAM category: tessellated fundus (172.5 ± 42.6 μm), diffuse chorioretinal atrophy (63.7 ± 27.3 μm), patchy atrophy (39.2 ± 18.3 μm) and macular atrophy (7.2 ± 11.3 μm, often unmeasurable). Different thinning rates were observed: diffuse atrophy (3.1 ± 0.9 μm/year), patchy atrophy (2.1 ± 0.8 μm/year), macular atrophy (1.3 ± 0.7 μm/year) and tessellated fundus (1.2 ± 0.6 μm/year). Lowest CT values were observed in eyes with type IX staphyloma (22.4 ± 12.1 μm). Axial length ≥ 29 mm was associated with lower CT (32.4 ± 18.9 vs. 78.6 ± 36.2 μm, p < 0.001). Baseline CT <40 μm independently predicted macular atrophy development (OR 3.84, p < 0.001) and visual decline (OR 2.76, p < 0.001). Eyes with dome‐shaped macula showed thicker CT at dome peak compared with peridome edges (62.3 ± 34.2 vs. 48.4 ± 22.7 μm, p = 0.002). Eyes developing myopic macular neovascularization (mMNV) had lower baseline CT (32.7 ± 17.8 vs. 58.6 ± 33.1 μm, p < 0.001). Conclusions The fastest choroidal thinning occurred in eyes with diffuse chorioretinal atrophy, while eyes with severely reduced baseline CT had a higher risk for macular atrophy development and visual impairment. Different staphyloma types showed variable CT patterns.
Related Topics
Concepts
Maculopathy
Medicine
Ophthalmology
Atrophy
Fundus (uterus)
Eye disease
Visual acuity
Choroidal neovascularization
Macular degeneration
Optical coherence tomography
Choroid
Fovea centralis
Retinopathy
Retinal
Prospective cohort study
Geographic atrophy
Macula Lutea
Age-related maculopathy
Correlation
Retina
Fluorescein angiography
Optometry
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/aos.70034
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/aos.70034
- OA Status
- hybrid
- References
- 35
- OpenAlex ID
- https://openalex.org/W7104469154
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W7104469154Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/aos.70034Digital Object Identifier
- Title
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Longitudinal changes in choroidal thickness in high myopia: Correlation with maculopathy progression and visual outcomesWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
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2025Year of publication
- Publication date
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2025-11-08Full publication date if available
- Authors
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Matteo Mario Carlà, Francesco Boselli, Federico Giannuzzi, Emanuele Crincoli, Fiammetta Catania, Agnese Maria Perugini, Gloria Gambini, Stanislao Rizzo, Carlos MateoList of authors in order
- Landing page
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https://doi.org/10.1111/aos.70034Publisher landing page
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/aos.70034Direct link to full text PDF
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/aos.70034Direct OA link when available
- Concepts
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Maculopathy, Medicine, Ophthalmology, Atrophy, Fundus (uterus), Eye disease, Visual acuity, Choroidal neovascularization, Macular degeneration, Optical coherence tomography, Choroid, Fovea centralis, Retinopathy, Retinal, Prospective cohort study, Geographic atrophy, Macula Lutea, Age-related maculopathy, Correlation, Retina, Fluorescein angiography, OptometryTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
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35Number of works referenced by this work
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| abstract_inverted_index.changes | 5 |
| abstract_inverted_index.decline | 199 |
| abstract_inverted_index.diffuse | 95, 122, 260 |
| abstract_inverted_index.fastest | 253 |
| abstract_inverted_index.macular | 109, 134, 189, 233, 275 |
| abstract_inverted_index.minimum | 38 |
| abstract_inverted_index.reduced | 267 |
| abstract_inverted_index.system. | 71 |
| abstract_inverted_index.thicker | 210 |
| abstract_inverted_index.years). | 45 |
| abstract_inverted_index.5‐year | 39 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.Baseline | 183 |
| abstract_inverted_index.Curtin's | 70 |
| abstract_inverted_index.atrophic | 47 |
| abstract_inverted_index.atrophy, | 262 |
| abstract_inverted_index.baseline | 77, 238, 268 |
| abstract_inverted_index.compared | 215 |
| abstract_inverted_index.enhanced | 64 |
| abstract_inverted_index.evaluate | 3 |
| abstract_inverted_index.followed | 69 |
| abstract_inverted_index.imaging. | 66 |
| abstract_inverted_index.measured | 59 |
| abstract_inverted_index.observed | 151 |
| abstract_inverted_index.occurred | 256 |
| abstract_inverted_index.patients | 35 |
| abstract_inverted_index.peridome | 217 |
| abstract_inverted_index.severely | 266 |
| abstract_inverted_index.thinning | 118, 255 |
| abstract_inverted_index.variable | 285 |
| abstract_inverted_index.Different | 117, 281 |
| abstract_inverted_index.Subfoveal | 56 |
| abstract_inverted_index.according | 52 |
| abstract_inverted_index.category: | 88 |
| abstract_inverted_index.choroidal | 7, 254 |
| abstract_inverted_index.observed: | 121 |
| abstract_inverted_index.outcomes. | 23 |
| abstract_inverted_index.patterns. | 287 |
| abstract_inverted_index.predicted | 188 |
| abstract_inverted_index.subfoveal | 74 |
| abstract_inverted_index.thickness | 8 |
| abstract_inverted_index.μm/year) | 139 |
| abstract_inverted_index.Staphyloma | 67 |
| abstract_inverted_index.associated | 168 |
| abstract_inverted_index.decreasing | 84 |
| abstract_inverted_index.developing | 231 |
| abstract_inverted_index.staphyloma | 157, 282 |
| abstract_inverted_index.μm/year), | 127, 133 |
| abstract_inverted_index.μm/year). | 146 |
| abstract_inverted_index.Conclusions | 251 |
| abstract_inverted_index.correlation | 16 |
| abstract_inverted_index.development | 191, 277 |
| abstract_inverted_index.follow‐up | 40 |
| abstract_inverted_index.impairment. | 280 |
| abstract_inverted_index.maculopathy | 19, 48 |
| abstract_inverted_index.progression | 20 |
| abstract_inverted_index.tessellated | 89, 141 |
| abstract_inverted_index.longitudinal | 4 |
| abstract_inverted_index.Retrospective | 25 |
| abstract_inverted_index.chorioretinal | 96, 261 |
| abstract_inverted_index.dome‐shaped | 207 |
| abstract_inverted_index.independently | 187 |
| abstract_inverted_index.classification | 68 |
| abstract_inverted_index.unmeasurable). | 116 |
| abstract_inverted_index.classification. | 55 |
| abstract_inverted_index.spectral‐domain | 61 |
| abstract_inverted_index.neovascularization | 234 |
| cited_by_percentile_year | |
| countries_distinct_count | 2 |
| institutions_distinct_count | 9 |
| citation_normalized_percentile.value | 0.80614413 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |