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CHORIORETINAL FOLDS IN PATIENTS WITH CENTRAL SEROUS CHORIORETINOPATHY

Six patients with central serous chorioretinopathy and chorioretinal folds are described. Thickening of the choroid, associated with central serous chorioretinopathy, was observed in these patients with hyperopia. Lack of adequacy between the relative thickness of the different layers of the posterior pole could have led to the occurrence of chorioretinal folds. Background and Purpose: To the best of our knowledge, there is no study of patients with central serous chorioretinopathy associated with chorioretinal folds, since a short mention in Gass' stereoscopic atlas. We report here six cases with this association. Methods: Six patients with both conditions were examined in our institution and underwent fluorescein angiography and optical coherence tomography. Results: Patients were 3 men and 3 women, aged 44 years to 82 years. All patients were hyperopic and two received corticosteroids. Fluorescein angiography showed pigmentary changes, diffuse leakage areas typical of chronic central serous chorioretinopathy, and chorioretinal folds mainly located in the upper temporal part of the fundus. Enhanced depth imaging optical coherence tomography was performed in 5 cases and revealed a thick choroid in all cases (mean subfoveal choroidal thickness: 381 µm, range: 280–510 µm). Conclusion: Although possibly coincidental, the presence of chorioretinal folds in hyperopic central serous chorioretinopathy eyes could be due to the excessive thickness of the choroid in eyes with hyperopia related to short axial length.