Choroidal fold aociated with increaed intracranial preure

PURPOE: To determine whether a relationhip exit between increaed intracranial preure and the preence of idiopathic choroidal fold. METHOD: A propective tudy in which 12 conecutive patient preenting with choroidal fold were evaluated by imaging tudie (ultraonography, magnetic reonance imaging, and/or computed tomography) to rule out known caue of choroidal fold, uch a orbital dieae, choroidal tumor, poterior cleriti, hypotony, and choroidal neovacular membrane. A lumbar puncture wa performed on each of thee patient, and meaurement of opening preure of cerebropinal fluid wa obtained. REULT: Twelve patient with choroidal fold included nine men and three women. ix patient (50%) preented with papilledema in the eye with choroidal fold. The other ix patient (50%) preented with only choroidal fold. In thi tudy, 10 (83%) of 12 patient had an opening preure greater than 230 mm H2O. In patient preenting with only choroidal fold, five (83%) of ix patient had an opening preure greater than 230 mm H2O, with an average opening preure of 290 mm H2O. CONCLUION: Depending on the timing of the evaluation, papilledema may or may not be preent, and only choroidal fold may be een a a reflection of increaed intracranial preure. We believe that increaed intracranial preure from any ource (that i, peudotumor cerebri, inu thromboi, or intracranial ma) can preent with only choroidal fold; therefore, thee patient hould have an appropriate work-up that hould probably include a lumbar puncture before the title of “idiopathic” i given to their finding.