Peripapillary pachychoroid syndrome: clinical insights

There is no consensus in the literature on whether peripapillary pachychoroid syndrome (PPS) is a separate entity within the pachychoroid disease spectrum or a subset of central serous chorioretinopathy (CSC) 1,2.A distinct clinical hallmark of PPS, which differentiates it from CSC, is the presence of intraretinal cysts that originate from the edge of the optic nerve disc and extend into the retina.In CSC, intraretinal cysts very rarely develop and are reported to be associated with prolonged chronic episodes (lasting more than five years) and subretinal fibrosis 3.However, even these intraretinal cysts reported to be