Pluzsik Milán Tamás, Schneider Miklós
Fővárosi Önkormányzat Bajcsy-Zsilinszky Kórház Szemészeti Osztály Budapest Maglódi út 89-91. 1106.
Semmelweis Egyetem, Általános Orvostudományi Kar Szemészeti Klinika Budapest.
Orv Hetil. 2014 Jul 6;155(27):1083-6. doi: 10.1556/OH.2014.29938.
Choroidal folds present as parallel bright and dark lines, which may be detected with funduscopy. Optical coherence tomography, red free fundus photography, autofluorescence and fluorescein angiography may be also helpful to establish the diagnosis. The authors present the case of a 70-year-old male who was evaluated because of a 1-month history of blurred vision on his right eye. Dilated fundus examination revealed choroidal folds in both eyes, which failed to affect visual acuity. No neurological pathologies were found. There was no change in the patient condition during a follow-up period of 6 months. The authors note that choroidal folds are often not recognized because they are usually asymptomatic. There are several possible causes which should be considered. The diagnosis of idiopathic choroidal folds is based on the exclusion of other pathologies. Observation of the patient's visual acuity and monitoring for fundus changes are needed.
脉络膜皱褶表现为平行的明暗相间线条,可通过眼底镜检查发现。光学相干断层扫描、无赤眼底照相、自发荧光和荧光素血管造影也可能有助于确诊。作者报告了一例70岁男性患者,因右眼视力模糊1个月前来就诊。散瞳眼底检查发现双眼脉络膜皱褶,但未影响视力。未发现神经病变。在6个月的随访期内,患者病情无变化。作者指出,脉络膜皱褶通常无症状,因此常未被识别。应考虑多种可能的病因。特发性脉络膜皱褶的诊断基于排除其他病变。需要观察患者的视力并监测眼底变化。