The Role of Diabetic Choroidopathy in the Pathogenesis and Progression of Diabetic Retinopathy

Diabetic choroidopathy was first described on histopathological specimens of diabetic eyes. This alteration was characterized by the accumulation of PAS-positive material within the intracapillary stroma. Inflammation and polymorphonuclear neutrophils (PMNs) activation are crucial elements in chorio...

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Main Authors: Luca Scuderi, Serena Fragiotta, Mariachiara Di Pippo, Solmaz Abdolrahimzadeh
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/12/10167
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author Luca Scuderi
Serena Fragiotta
Mariachiara Di Pippo
Solmaz Abdolrahimzadeh
author_facet Luca Scuderi
Serena Fragiotta
Mariachiara Di Pippo
Solmaz Abdolrahimzadeh
author_sort Luca Scuderi
collection DOAJ
description Diabetic choroidopathy was first described on histopathological specimens of diabetic eyes. This alteration was characterized by the accumulation of PAS-positive material within the intracapillary stroma. Inflammation and polymorphonuclear neutrophils (PMNs) activation are crucial elements in choriocapillaris impairment. The evidence of diabetic choroidopathy in vivo was confirmed with multimodal imaging, which provides key quantitative and qualitative features to characterize the choroidal involvement. The choroid can be virtually affected in each vascular layer, from Haller’s layer to the choriocapillaris. However, the damage on the outer retina and photoreceptor cells is essentially driven by a choriocapillaris deficiency, which can be assessed through optical coherence tomography angiography (OCTA). The identification of characteristic features of diabetic choroidopathy can be significant for understanding the potential pathogenic and prognostic implications in diabetic retinopathy.
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spelling doaj.art-bfebd60039514849ad85c8b564ac312a2023-11-18T10:49:39ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-06-0124121016710.3390/ijms241210167The Role of Diabetic Choroidopathy in the Pathogenesis and Progression of Diabetic RetinopathyLuca Scuderi0Serena Fragiotta1Mariachiara Di Pippo2Solmaz Abdolrahimzadeh3Department of Sense Organs, Sapienza University of Rome, 00161 Rome, ItalyOphthalmology Unit, Neurosciences, Mental Health, and Sensory Organs (NESMOS) Department, Sapienza University of Rome, Via di Grottarossa 1035/1039, 00189 Rome, ItalyOphthalmology Unit, Neurosciences, Mental Health, and Sensory Organs (NESMOS) Department, Sapienza University of Rome, Via di Grottarossa 1035/1039, 00189 Rome, ItalyOphthalmology Unit, Neurosciences, Mental Health, and Sensory Organs (NESMOS) Department, Sapienza University of Rome, Via di Grottarossa 1035/1039, 00189 Rome, ItalyDiabetic choroidopathy was first described on histopathological specimens of diabetic eyes. This alteration was characterized by the accumulation of PAS-positive material within the intracapillary stroma. Inflammation and polymorphonuclear neutrophils (PMNs) activation are crucial elements in choriocapillaris impairment. The evidence of diabetic choroidopathy in vivo was confirmed with multimodal imaging, which provides key quantitative and qualitative features to characterize the choroidal involvement. The choroid can be virtually affected in each vascular layer, from Haller’s layer to the choriocapillaris. However, the damage on the outer retina and photoreceptor cells is essentially driven by a choriocapillaris deficiency, which can be assessed through optical coherence tomography angiography (OCTA). The identification of characteristic features of diabetic choroidopathy can be significant for understanding the potential pathogenic and prognostic implications in diabetic retinopathy.https://www.mdpi.com/1422-0067/24/12/10167diabetic choroidopathydiabetes mellitusdiabetic retinopathychoriocapillarischoroidoptical coherence tomography
spellingShingle Luca Scuderi
Serena Fragiotta
Mariachiara Di Pippo
Solmaz Abdolrahimzadeh
The Role of Diabetic Choroidopathy in the Pathogenesis and Progression of Diabetic Retinopathy
International Journal of Molecular Sciences
diabetic choroidopathy
diabetes mellitus
diabetic retinopathy
choriocapillaris
choroid
optical coherence tomography
title The Role of Diabetic Choroidopathy in the Pathogenesis and Progression of Diabetic Retinopathy
title_full The Role of Diabetic Choroidopathy in the Pathogenesis and Progression of Diabetic Retinopathy
title_fullStr The Role of Diabetic Choroidopathy in the Pathogenesis and Progression of Diabetic Retinopathy
title_full_unstemmed The Role of Diabetic Choroidopathy in the Pathogenesis and Progression of Diabetic Retinopathy
title_short The Role of Diabetic Choroidopathy in the Pathogenesis and Progression of Diabetic Retinopathy
title_sort role of diabetic choroidopathy in the pathogenesis and progression of diabetic retinopathy
topic diabetic choroidopathy
diabetes mellitus
diabetic retinopathy
choriocapillaris
choroid
optical coherence tomography
url https://www.mdpi.com/1422-0067/24/12/10167
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