[Benign choroidal folds (author's transl)]

Area of Science:

• Ophthalmology
• Medical Imaging

Background:

• Choroidal folds are a rare ophthalmic finding that can be associated with various underlying conditions.
• Idiopathic choroidal folds present a diagnostic challenge, necessitating a thorough evaluation to exclude serious pathologies.

Observation:

• A patient presented with unilateral choroidal folds of undetermined etiology.
• Diagnostic imaging, including echography and computerized tomography, was employed to assess the choroidal folds.
• Fluorescein angiography was performed to characterize the nature of the folds.

Findings:

• Echography and computerized tomography effectively ruled out a neoplastic cause for the choroidal folds.
• Fluorescein angiography revealed a pattern characteristic of choroidal folds, distinguishing them from retinal folds.
• The specific cause of the choroidal folds remained undetermined despite comprehensive investigation.

Implications:

• Modern diagnostic tools are crucial for differential diagnosis in cases of choroidal folds, particularly in excluding malignancy.
• Despite advanced imaging, long-term clinical follow-up remains essential for managing patients with idiopathic choroidal folds.
• This case underscores the importance of integrating various imaging modalities for accurate diagnosis and patient management.