A patient presents with dryness. What is your diagnosis?

Tip #192


Here on the right of the image there is normal lamellar architecture. The nerve fiber layer is visible as it moves to the optic nerve. To the left of the image, there is some elevation of the ganglion cell layer. There is significant rolling of the RPE.

This patient was diagnosed with choroidal folds due to thydoid-related immune orbitopathy.

In this tip's accompanying 15 min. video, we'll review:

  • The best way to visualize choroidal folds on OCT
  • What their presence might mean in terms of cause
  • Which systemic conditions are associated with them
Tip #192 Analysis


In a patient with waviness to their RPE, consider choroidal folds.

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