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Published in: International Ophthalmology 11/2019

01-11-2019 | Angiography | Review

Chorioretinal folds: a proposed diagnostic algorithm

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

Published in: International Ophthalmology | Issue 11/2019

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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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Metadata
Title
Chorioretinal folds: a proposed diagnostic algorithm
Authors
Alessandro Bagnis
Carlo Alberto Cutolo
Guido Corallo
Donatella Musetti
Massimo Nicolò
Carlo Enrico Traverso
Publication date
01-11-2019
Publisher
Springer Netherlands
Keyword
Angiography
Published in
International Ophthalmology / Issue 11/2019
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-019-01083-y

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