Bilateral Chorioretinal Folds in Association with Chronic Polypoidal Choroidal Vasculopathy

Chorioretinal folds have been associated with a myriad of conditions including axial hyperopia, hypotony, uveal effusion, idiopathic intracranial hypertension, orbital tumors, central serous chorioretinopathy, and posterior scleritis [1-3]. As mechanical factors and volume constraint are responsible for the anatomic distortions seen in very short eyes, the condition in general represents an anatomic perturbation of the choroid. Since it is a highly vascular structure, one might expect to find associated abnormalities and characteristics of the impacted blood vessels of the choriocapillaris. Polypoidal choroidal vasculopathy (PCV) is by far the most common form of exudative macular degeneration in blacks and Asians [4]. We describe a case of bilateral idiopathic chorioretinal folds in a Caribbean-female with associated PCV.