Evidence map›Paper›PMID 42339338›Full record

ArticleOphthalmology science2026

Pathways to Patchy Atrophy in High Myopia: Precursor Patterns, Structural Characteristics, and Long-Term Outcomes.

Sebastiano Del Fabbro, Jost B Jonas, Songhomitra Panda-Jonas, Karolina Motloch, Maria Vittoria Cicinelli, Maurizio Battaglia Parodi, Elisabetta Miserocchi, Aude Couturier, Elise Philippakis

Abstract read
In one paragraph

Article in Ophthalmology science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

9 authors.

Sebastiano Del FabbroFrench Institute of Myopia, Foundation Adolphe de Rothschild Hospital, Paris, France.
Jost B JonasFrench Institute of Myopia, Foundation Adolphe de Rothschild Hospital, Paris, France.
Songhomitra Panda-JonasFrench Institute of Myopia, Foundation Adolphe de Rothschild Hospital, Paris, France.
Karolina MotlochFrench Institute of Myopia, Foundation Adolphe de Rothschild Hospital, Paris, France.
Maria Vittoria CicinelliSchool of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
Maurizio Battaglia ParodiSchool of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
Elisabetta MiserocchiSchool of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
Aude CouturierFrench Institute of Myopia, Foundation Adolphe de Rothschild Hospital, Paris, France.
Elise PhilippakisFrench Institute of Myopia, Foundation Adolphe de Rothschild Hospital, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To characterize distinct precursor patterns associated with the development of patchy atrophy (PA) in highly myopic eyes and to describe their structural evolution and clinical outcomes over time. Design: A retrospective multicenter cohort study. Participants: Highly myopic patients with documented onset of PAs and at least 3 months of multimodal imaging (MMI) prior to the PA development. Methods: Clinical, demographic, and MMI findings were retrospectively collected from 3 tertiary referral centers. Based on MMI findings preceding PA onset, eyes were categorized into 3 patterns: (1) inflammatory PAs in the context of punctate inner choroidopathy; (2) neovascular PAs, associated with extrafoveal macular neovascularization (MNV); and (3) idiopathic PAs, in the absence of identifiable inflammatory or neovascular precursor lesions. Main Outcome Measures: Precursor patterns, clinical and MMI characteristics, clinical complication profile, and atrophy growth rate (AGR). Results: The study included 103 eyes (84 patients; 28 [27%] men) with a mean (standard deviation) age of 62 (13.4) years and mean refractive error of -13.2 (5.8) diopters at PA onset. Median observation periods prior to PA onset and post-PA follow-up were 2.1 years (interquartile range 5.20) and 3.44 years (interquartile range 7.23), respectively. Inflammatory PAs were detected in 33 (32%) eyes, neovascular PAs in 9 (9%) eyes, and 61 eyes (59%) had idiopathic PAs. Number of pre-existing PAs at baseline was the highest in inflammatory PAs (6.1 ± 6.4), followed by neovascular PAs (1.6 ± 1.1) and idiopathic PAs (1.5 ± 1.1; Conclusions: Patchy atrophies in highly myopic eyes develop with 3 precursor patterns (inflammatory, neovascular, and idiopathic) and differ in structural characteristics, atrophy progression, and complication profile. Recognition of PA patterns may improve clinical assessment of highly myopic eyes. Financial Disclosures: The authors have no proprietary or commercial interest in any materials discussed in this article.

Indexed as

High myopiaMyopic maculopathyMyopic neovascularizationPatchy atrophyPunctate inner choroidopathy

Identifiers

PMID42339338
PMCPMC13284479

What Socratic holds

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LicenceCC BY-NC-ND
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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 Socratic graph.