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Case Reports
. 2020 May 26:19:100747.
doi: 10.1016/j.ajoc.2020.100747. eCollection 2020 Sep.

Staphyloma-related chorioretinal folds

Audrey Giocanti-Auregan  1 , Carlo Lavia  2 , Alain Gaudric  2   3 , Typhaine Grenet  3 , Salomon Y Cohen  3   4
Affiliations
Case Reports

Staphyloma-related chorioretinal folds

Audrey Giocanti-Auregan et al. Am J Ophthalmol Case Rep. .

Abstract

Purpose: To report a case of bilateral idiopathic chorioretinal folds that seemed to be related to an atypical staphyloma.

Observations: A 49-year old man without medical history consulted for slight vision loss and metamorphopsia in the left eye. The ophthalmologic examination revealed moderate myopia and bilateral chorioretinal folds in the posterior pole, confirmed by multimodal imaging. Orbital and systemic examinations ruled out all the known etiologies of chorioretinal folds. 3-D optical coherence tomography and B-scan suggested that the folds were related to an atypical staphyloma that developed in the temporal part of the fundus, while sparing the peripapillary area. The peripapillary area, spared by the staphyloma process, appeared as a "dome-shaped disc" compared to the staphylomatous area.

Conclusion and importance: This case suggests that myopic patients with unusual staphyloma located outside the peripapillary area could develop chorioretinal folds.

Keywords: Chorioretinal folds; Dome-shaped disc; Multimodal imaging; Myopia; Staphyloma.

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Conflict of interest statement

The following authors have no financial disclosures related to this study: AGA, CL, AG, TG, SYC. Financial disclosures not related to the study: AGA is consultant for Allergan, Bayer and Novartis. AG is consultant for Novartis and Thrombogenics. TG is consultant for Novartis. SYC is consultant for Allergan, Bayer, Novartis, Roche, Thea and Tilak.

Figures

Fig. 1
Fig. 1
50° color fundus photography of the right and left eyes showing bilateral chorioretinal folds in the posterior pole.
Fig. 2
Fig. 2
Horizontal OCT B-scans of the right (top) and left (bottom) eyes showing bilateral chorioretinal folds, without obvious pachychoroid.
Fig. 3
Fig. 3
Autofluorescence of the right and left eyes showing with a better contrast the bilateral horizontal chorioretinal folds as hypo- and hyper-autofluorescent lines in the posterior pole.
Fig. 4
Fig. 4
Fluorescein angiograms of the right and left eyes showing an alternance of hypo- and hyperfluorescent lesions around the macula in both eyes and beneath the optic nerve on the left.
Fig. 5
Fig. 5
3-D reconstruction of the posterior pole of the right end left eyes showing a marked slope between the peripapillary area and the temporal part of the fundus.
Fig. 6
Fig. 6
B-scan of the left eye passing through the optic nerve showing that the optic nerve head is spared by the staphyloma (white arrow), while the staphyloma is located in the temporal part of the fundus, outside the peripapillary area (yellow arrows). (For interpretation of the references to color in this figure legend, the reader is referred to the Web version of this article.)
See this image and copyright information in PMC

References

    1. Leahey A.B., Brucker A.J., Wyszynski R.E., Shaman P. Chorioretinal folds. A comparison of unilateral and bilateral cases. Arch Ophthalmol. 1993;111(3):357–359. - PubMed
    1. Gass J.D. Radial chorioretinal folds. A sign of choroidal neovascularization. Arch Ophthalmol. 1981;99(6):1016–1018. - PubMed
    1. Ahmadi A.J., Pirinjian G.E., Sires B.S. Optic neuropathy and macular chorioretinal folds caused by orbital cherubism. Arch Ophthalmol. 2003;121(4):570–573. - PubMed
    1. Yeung L., Lai C.C., Chen T.L., Wu W.C. Chorioretinal folds associated with a meningioma. Chang Gung Med J. 2005;28(8):575–580. - PubMed
    1. Hyvärinen L., Walsh F.B. Benign chorioretinal folds. Am J Ophthalmol. 1970;70(1):14–17. - PubMed

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