Objective:

To present the clinical and ultrasonographic findings in a patient with benign choroidal folds in the left eye.

Method:

Case report.

Results:

A 57-year-old male who sought consultation due to reduced visual acuity, photopsia and nyctalopia. Visual acuity in the right eye was of 20/26 and in the left eye of 20/200, which improved to 20/20 and 20/25 with a pinhole, respectively. Fundoscopy of the left eye showed the presence of horizontal folds and an applied retina. The peripheral retina showed no alterations. Optical coherence tomography showed slightly prominent ripples. Simple computed tomography of the skull ruled out a mass and showed flattening of the posterior wall of the globe. Ultrasonic biometrics in the right eye were of 23.89 mm and in the left eye of 22.28 mm. B-mode ultrasound showed flattening of the posterior ocular wall and an increased chorioretinal thickness in the macular region of 1.64 mm.

Discussion/Conclusion:

Choroidal folds are undulations of the surface of the retina, visible by biomicroscopy, and their ultrasonographic feature is flattening of the posterior ocular wall, caused by a diffuse thickening of the sclera and the chorioretinal layer. These eyes have a short axial length compared to the contralateral eye. Ultrasound helps in the diagnosis, being particularly useful for staging chorioretinal thickness and flattening of the posterior ocular wall.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )