Ironing Out the Diagnosis: Choroidal Folds

File number: 133814

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By SHRADDHA RAJ SHRIVASTAVA
RETINA FOUNDATION, AHMEDABAD
Co-author(s): Dr. Manish Nagpal
Uploaded on Nov 8, 2025.
Last modified by Joshua Friedman on Nov 10, 2025.

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Appears in: Choroidal Pathologies
Condition/keywords: choroidal folds
Photographer: Dr. Shraddha Raj Shrivastava
Imaging device: Scanning laser ophthalmoscope
Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)
Description: Right eye B-FAF image of a 73 year old lady, showing choroidal folds at the macula, just temporal to the fovea. We can see alternating hypoautofluorescent (dark) lines corresponding to the crests of the folds where retinal pigment epithelium (RPE) cells are stretched and thinner and hyperautofluorescent (bright) lines at the troughs where RPE cells are compacted, containing more lipofuscin.