Choroidal folds and papilloedema

Aims-To assess the clinical and fluorescein angiographic features of choroi dal folds seen in association with papilloedema. Methods-In a retrospective study, the clinical data from a database on pati ents with choroidal folds (1963-97), including fundus photography and fluor escein angiography, from 32 patients (64 eyes) with choroidal folds in asso ciation with papilloedema were reviewed. The clinical and fluorescein angio graphic features and the clinical course of choroidal folds in these patien ts are described. Results-32 patients had choroidal folds associated with papilloedema. Folds of two distinct categories were observed, either coarse folds or wrinkles. The folds persisted in all cases, even after resolution of papilloedema. F ollow up ranged from 1 month to 20 years. Only one patient suffered permane nt visual impairment as a result of a choroidal fold. Conclusions-Choroidal folds exist in two forms, coarse folds and wrinkles. They persist even after papilloedema has resolved. Final visual acuity did not appear to be affected by the presence of choroidal folds in the majorit y of patients.