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Chorioretinal folds: a proposed diagnostic algorithm

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Abstract

Purpose

To create a diagnostic algorithm for the management of chorioretinal folds.

Methods

We reviewed the existing literature about chorioretinal folds focusing our attention on three specific conditions and created a diagnostic algorithm in order to otpimize the choice and the number of investigations.

Results

Chorioretinal folds are visible striations of the fundus usually arranged in parallel lines and disposed horizontally. They may be either unilateral or bilateral, symptomatic or asymptomatic and are often associated with different possible ocular and extra ocular pathologies, including systemic diseases like autoimmune disorders and intracranial hypertension. They are named idiopathic when no apparent cause for their development is detectable. However, with improved diagnostic testing, the patients with idiopathic choroidal folds are likely to represent only a smaller portion of the total.

Conclusions

Since choroidal folds be the sole sign of an underlying disease possibly requiring a multidisciplinary approach, an appropriate work-up varying according to the specific clinical features of each case is needed to define the etiology and the treatment. A diagnosting algorithm may be useful in order to optimize the diagnostic approach and management.

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Authors and Affiliations

  1. Clinica Oculistica, DiNOGMI, Università degli Studi di Genova, Viale Benedetto XV 5, 16132, Genoa, Italy

    Alessandro Bagnis, Carlo Alberto Cutolo, Guido Corallo, Donatella Musetti, Massimo Nicolò & Carlo Enrico Traverso

  2. IRCCS Ospedale Policlinico San Martino, Genoa, Italy

    Alessandro Bagnis, Carlo Alberto Cutolo, Donatella Musetti, Massimo Nicolò & Carlo Enrico Traverso

Authors
  1. Alessandro Bagnis
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  2. Carlo Alberto Cutolo
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  3. Guido Corallo
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  4. Donatella Musetti
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  5. Massimo Nicolò
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  6. Carlo Enrico Traverso
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Correspondence to Alessandro Bagnis.

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Bagnis, A., Cutolo, C.A., Corallo, G. et al. Chorioretinal folds: a proposed diagnostic algorithm. Int Ophthalmol 39, 2667–2673 (2019). https://doi.org/10.1007/s10792-019-01083-y

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