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Images in Medicine
34 (
6
); 372-372
doi:
10.25259/NMJI_353_20

Chronic choroidal folds in a patient with pleomorphic adenoma

Dr Rajendra Prasad Centre for Ophthalmic Sciences. All India Institute of Medical Sciences, New Delhi, India
Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

To cite: Azad SV, Kumar V, Agarwal P. Chronic choroidal folds in a patient with pleomorphic adenoma. Natl Med J India 2021;34:372.

A 45-year-old-man presented with defective vision. The patient had undergone lateral orbitotomy for pleomorphic adenoma. Fundus examination revealed a background of multiple linear hypopigmented streaks (blue arrow) one below the other with overlying areas of retinal atrophy (yellow arrow) at the macula (Fig. 1a). Fundus auto-fluorescence of the same showed a stack of hypo-fluorescent lines with central black areas, suggesting retinal pigment epithelium (RPE) and retinal atrophy (Fig. 1b). Swept source optical coherence tomography (SS-OCT) unveiled thinning of the retina (blue arrow) and loss of photoreceptors/RPE (yellow arrow) with underlying choroidal atrophy (square bracket; Fig. 1c). Such a fundus picture is a tell-tale sign of chronic choroidal folds due to long-standing globe compression secondary to intra-orbital neoplasm.

(a) Clinical photograph showing multiple linear hypopigmented streaks (blue arrow) one below the other with overlying areas of retinal atrophy (yellow arrow) at the macula; (b) fundus auto-fluorescence shows a stack of hypo-fluorescent lines with central black areas suggesting retinal pigment epithelium (RPE) and retinal atrophy; (c) Swept source optical coherence tomography (SS-OCT) showing thinning of retina (blue arrow) and loss of photoreceptors/RPE (yellow arrow) with underlying choroidal atrophy (square bracket)
FIG 1.
(a) Clinical photograph showing multiple linear hypopigmented streaks (blue arrow) one below the other with overlying areas of retinal atrophy (yellow arrow) at the macula; (b) fundus auto-fluorescence shows a stack of hypo-fluorescent lines with central black areas suggesting retinal pigment epithelium (RPE) and retinal atrophy; (c) Swept source optical coherence tomography (SS-OCT) showing thinning of retina (blue arrow) and loss of photoreceptors/RPE (yellow arrow) with underlying choroidal atrophy (square bracket)

Conflicts of interest

None declared.


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