Choroidal Folds

Question 1

What are choroidal folds?

Answer 1

• Indulations of choroid – corregated appearance
  o Similar to epiretinal membrane but epiretinal membrane is sitting on top of retina and only inner most layer
  o Choroidal folds only happen at choroid – so can affect all subsequent layers of retina – so seen in all layers not just top layer
• Due to compressive stress on choroid
• Orbital disease/scleral disease/choroidal congestion

Question 2

What are the causes of choroidal folds?

Answer 2

• Causes:
  o Idiopathic
  o Hypermetropia
  o Papilloedema
  o Orbital disease
  o Ocular disease
• Important that these pxs get scanned as the orbital disease is serious – most will be idiopathic or due to hypermetropia though

Question 3

Symptoms of choroidal folds?

Answer 3

• Usually asymptomatic

Question 4

Management of choroidal folds?

Answer 4

• Need careful ocular examination
• Scan to exclude orbital pathology
• Treatment of underlying cause
• Choroidal folds themselves to not need treatment