Chorioretinal Folds Associated with a Meningioma.docVIP

Case Report 575 Chorioretinal Folds Associated with a Meningioma Ling Yeung, MD; Chi-Chun Lai, MD; Tun-Lu Chen, MD; Wei-Chi Wu, MD, PHD Chorioretinal folds are a rare presentation of a meningioma. We report a case of a meningioma with chorioretinal folds as its initial presentation. A 39-year-old female patient complained of progressive blurring of the right eye. A fundus examination of the right eye revealed chorioretinal folds. Magnetic resonance imaging found a tumor mass involving the right orbit and right anterior middle cranial fossa. An echo-guided biopsy confirmed the meningioma. She received surgical excision of the meningioma, and her visual acuity was stationary at 12/20 after 15 months of follow-up. We review the etiologies of chorioretinal folds and elucidate the strategies for dealing with them. Certain underling diseases associat- ed with chorioretinal folds are lethal and require prompt management. Ophthalmologists should evaluate these patients carefully in a stepwise manner. (Chang Gung Med J 2005;28:575-80) Key words: chorioretinal folds, meningioma, orbital tumor. C horioretinal folds are a rare condition that results from undulations in the choriocapillaris, Bruch’s membrane, retinal pigment epithelium, and sensory retina. They were first described by Nettleship in 1884 in a patient with optic atrophy following eye for 5 months. She denied any eye pain or diplop- ia. She had previously been in good health. No trau- ma history could be traced. An ophthalmologic examination revealed that her best-corrected visual acuities were 10/20 in the right eye and 20/20 in the left eye. Intraocular pressures of both eyes were within a normal range. There was mild proptosis and hypertropia of the right eye. The anterior segment was unremarkable in both eyes. There was no affer- ent pupillary defect. Ophthalmoscopy disclosed mul- tiple fine cho