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Related Experiment Videos

Choroidal folds and papilloedema.

L M Cassidy1, M D Sanders

  • 1Department of Neuro-ophthalmology, National Hospital for Neurology and Neurosurgery, London WC1N 3BG.

The British Journal of Ophthalmology
|September 30, 1999
PubMed
Summary

Choroidal folds, appearing as coarse folds or wrinkles, are associated with papilledema. These folds persist after papilledema resolves and typically do not affect final visual acuity.

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Area of Science:

  • Ophthalmology
  • Medical Imaging

Background:

  • Choroidal folds are a known ophthalmic finding.
  • Papilledema is swelling of the optic disc due to increased intracranial pressure.

Purpose of the Study:

  • To evaluate the clinical and fluorescein angiographic characteristics of choroidal folds in patients with papilledema.
  • To describe the natural course and visual outcomes associated with these folds.

Main Methods:

  • Retrospective review of clinical data and imaging (fundus photography, fluorescein angiography) from 32 patients with choroidal folds and papilledema.
  • Analysis of fold morphology, persistence, and visual acuity over time.

Main Results:

  • Two types of choroidal folds were observed: coarse folds and wrinkles.
  • Choroidal folds persisted in all patients, even after papilledema resolved.
  • Only one patient experienced permanent visual impairment due to choroidal folds.

Conclusions:

  • Choroidal folds associated with papilledema present in two distinct forms: coarse folds and wrinkles.
  • These folds are persistent findings, remaining visible after the resolution of papilledema.
  • In most cases, the presence of choroidal folds does not adversely impact final visual acuity.

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