The contribution of choroidal vasculature to the pathogenesis of age-related macular degeneration (AMD) has been long debated. The present narrative review aims to discuss the primary molecular and choroidal structural changes occurring with aging and AMD with a brief overview of the principal multimodal imaging modalities and techniques that enable the optimal in vivo visualization of choroidal modifications. The molecular aspects that target the choroid in AMD mainly involve human leukocyte antigen (HLA) expression, complement dysregulation, leukocyte interaction at Bruch’s membrane, and mast cell infiltration of the choroid. A mechanistic link between high-risk genetic loci for AMD and mast cell recruitment has also been recently demonstrated. Recent advances in multimodal imaging allow more detailed visualization of choroidal structure, identifying alterations that may expand our comprehension of aging and AMD development.

To assess safety and efficacy of deep topical anesthesia with ropivacaine-soaked sponge compared with topical anesthesia with oxybuprocaine in patients undergoing phacoemulsification.

Optical Coherence Tomography (OCT) and Optical Coherence Tomography Angiography (OCTA) are pivotal imaging techniques in diagnosing and managing macular disorders, providing high-resolution cross-sectional images of the retina. Although OCT artifacts are often deemed undesirable, they can paradoxically offer valuable insights into retinal pathology. This review explores the potential of OCT and OCTA artifacts to serve as indicators of pathological correlates in various macular conditions. The study emphasizes the importance of recognizing and leveraging these artifacts to refine clinicopathologic correlates characterizing several macular disorders, including age-related macular degeneration, diabetic retinopathy, and retinal vascular occlusive disease. OCT artifacts can reflect the ultrastructure and composition of pathological features, and their recognition can thus expand the understanding of the pathogenesis and improve the diagnostic interpretation of macular disorders. With the widespread use of OCT and OCTA technologies, identifying artifacts with clinicopathologic significance is of paramount importance and may have significant implications for management and prognosis.