TY - JOUR
T1 - Chorioretinal folds
T2 - a proposed diagnostic algorithm
AU - Bagnis, Alessandro
AU - Cutolo, Carlo Alberto
AU - Corallo, Guido
AU - Musetti, Donatella
AU - Nicolò, Massimo
AU - Traverso, Carlo Enrico
PY - 2019/11/1
Y1 - 2019/11/1
N2 - 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.
AB - 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.
KW - Chorioretinal folds
KW - Ocular diseases
KW - Systemic diseases
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U2 - 10.1007/s10792-019-01083-y
DO - 10.1007/s10792-019-01083-y
M3 - Review article
AN - SCOPUS:85061895987
VL - 39
SP - 2667
EP - 2673
JO - International Ophthalmology
JF - International Ophthalmology
SN - 0165-5701
IS - 11
ER -