The astute clinician not infrequently will detect choroidal folds during the course of a comprehensive retinal examination. Benign and ominous aetiologies exist and will guide the management. Bilateral choroidal folds are usually benign and the result of idiopathic acquired hyperopia and do not typically require extensive investigation.
CARE OF THE PATIENT WITH RETINAL DETACHMENT AND RELATED PERIPHERAL VITREORETINAL DISEASE Reference Guide for Clinicians Prepared by the American Optometric Association Consensus Panel on Care of the Patient with Retinal Detachment and Related Peripheral Vitreoretinal Disease: William L. Jones, O.D., Principal Author Anthony A. Cavallerano, O.D.
significantly (and often alarmingly) red as one looks directly at the underlying choroidal blood vessels radiating out from the optic nerve. Due to the lack of brown pigment in the choroid and the retina (normally in the RPE), the white scleral wall will often be visible between the thick, brick-red choroidal vessels. Oct 12, 2001 · Chronic hypotony that persists for more than three months can result in hypotony maculopathy. Signs include decreased acuity, choroidal folds and retinal striae, 9 exudative retinal detachment, macular edema, disc edema, phthisis, astigmatism and shallow anterior chamber. 10. Other complications associated with filtering blebs include: Bleb leakage. Choroidal folds are parallel grooves or striae involving the inner choroid, the Bruch’s membrane and the retinal pigment epithelium (RPE), and sometimes the retina (chorioretinal folds) . Optical coherence tomography (OCT) provides cross-sectional images of the retina and choroid, making it useful for investigation of choroidal folds . Symptoms from choroidal folds can vary depending on their cause and the rapidity of their progression. Optical coherence tomography (OCT) is a non-contact noninvasive technique that allows in vivo imaging of the retina, choroid, optic nerve head, retinal nerve fiber layer, and the anterior structures of the eye. Jun 23, 2017 · Prognosis for visual recovery is usually good. Early postoperative non-rhegmatogenous serous retinal detachment can occur in hypotonous eyes with choroidal detachment. This resolves with normalization of IOP. Persistent surface-wrinkling maculopathy and tears in the retinal pigment epithelium have been reported. · Choroidal folds. Choroidal folds occur when there is relative indentation of the inner surface of the sclera, leading to folds of the choroid and RPE or choroidal congestion. Clinically, they appear as parallel, alternating yellow and dark bands upon examination of the posterior pole.
CARE OF THE PATIENT WITH RETINAL DETACHMENT AND RELATED PERIPHERAL VITREORETINAL DISEASE Reference Guide for Clinicians Prepared by the American Optometric Association Consensus Panel on Care of the Patient with Retinal Detachment and Related Peripheral Vitreoretinal Disease: William L. Jones, O.D., Principal Author Anthony A. Cavallerano, O.D. To date, there are only few publications on theof cases. Macular folds can be prevented by correct posture topic of macular retinal folds following rhegmatogenousand avoiding large exoplants, large tamponade bubbles and retinal detachment (RRD) surgery. These are mainly in-incomplete drainage of subretinal fluid. If the retina is also involved i.e., grooves are noted in both the Bruch’s membrane and the retinal pigment epithelium (RPE), then the condition is known as Chorioretinal Folds A variety of causes have been attributed to Choroidal Folds which include tumor of the eye, chronic swelling of the optic disc, surgery to the eye, and inflammation of the sclera (part of the eye structure). In contrast, hemorrhagic choroidal detachments occur when a choroidal blood vessel bursts and suddenly fills the space between the choroid and the sclera with blood. This most often occurs during surgery but can occur following surgery, and is more frequent in older patients with a history of hardening of the arteries, or who use medications to thin their blood.