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Folds in the Retina

Ingebret Mojord, MSc FAAO Monday, 20 January 2014

EYELESSONS.COM Disclaimer: The content provided herein is for educational and informational purposes only; nothing provided herein should be intended to create a physician-patient relationship or an offer for a contract and does not constitute medical diagnosis or advice. The opinion relating to a review of any issue presented or discussed is the sole responsibility of the healthcare provider or medical advisor. The doctor or patient must assume all liability, including, but not limited to, any direct, indirect, incidental, consequential, or any other monetary or other damages, or liabilities arising out of or relating in any way to the content  or information provided herein.

72 yo

  - HISTORY OF DRY ARM

  - BCVA 1.25 OD AND 1.25 OS WITH +4.00D CORRECTION

  - NOTED FOLDS IN RETINA ON FUNDUS PHOTOS

EYELESSONS.COM Disclaimer: The content provided herein is for educational and informational purposes only; nothing provided herein should be intended to create a physician-patient relationship or an offer for a contract and does not constitute medical diagnosis or advice. The opinion relating to a review of any issue presented or discussed is the sole responsibility of the healthcare provider or medical advisor. The doctor or patient must assume all liability, including, but not limited to, any direct, indirect, incidental, consequential, or any other monetary or other damages, or liabilities arising out of or relating in any way to the content  or information provided herein. 

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Analysis

  • Folds in retina and choroid
  • high hyperopia
  • bilateral and relatively symmetrical which usually equates to congenital variation
  • no reduction in vision
  • no visual field defects
  • no other signs or symptoms

Consider

  • chorioretinal folds-bilateral and symmetrical
  • for more information go to http://www.revophth.com/content/d/retinal_insider/i/1299/c/25010/ for an excellent clinical review
  • more often idiopathic but may be associated wth tumors, hypotony inflammation, papilledema

Lesson: symmetry = congenital variation congenital chorio-retinal folds

Caveat: When using any guidelines one must consider correlation with other patient characteristics and other clinical tests such as but not limited to: chief complaint, age, gender, ethnicity, refractive status, family history, associated medical conditions, current medications, pachymetry, visual field testing, angle assessment.

Related Articles

Hemi-Structure, Hemi-Function, and Asymmetry
Performing the Family Scan
The Power of Symmetry

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