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Choroidal folds in association with optic disc drusen

✍ Scribed by Kelliann Dignam

Publisher
Elsevier Science
Year
1997
Tongue
English
Weight
1014 KB
Volume
9
Category
Article
ISSN
0953-4431

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✦ Synopsis

Choroidal folds are undulations in Bruch's membrane, the retinal pigment epithelium and possibly the outer retina. They can result from any intra-or extraocular process that induces sufficient compressive stress within the choroid, Bruch's membrane and retina to force these tissues to buckle. Numerous ocular as well as systemic conditions have been associated with choroidal fold formation. Presented for discussion is a patient with unilateral choroidal folds and optic disc drusen. Arguments both for and against a direct association between the two conditions are made. Emphasis is placed on the differential diagnosis, clinical evaluation, etiology and management of choroidal folds.

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We report a case with progressive visual loss whose ophthalmic examination revealed bilateral optic atrophy and choroidal folds in the left eye. Neuroimaging demonstrated a sellar mass compressing the optic chiasm and the left optic nerve was to be stretched. We assume the traction created on the op