Multimodal Imaging in a Case with Bilateral Choroidal Folds

David Xu, Ambar Faridi

Research output: Contribution to journalArticlepeer-review


We highlight the use of multimodal imaging to diagnose and report what is, to our knowledge, a novel presentation of bilateral choroidal neovascularization (CNV) and prominent macular choroidal folds (CFs) in a patient with pattern dystrophy. An 81-year-old Caucasian male presented with painless, blurry central vision in both eyes. Color fundus photography, spectral-domain optical coherence tomography (SD-OCT), fluorescein angiography (FA), fundus autofluorescence, and brightness scan ultrasonography supported the diagnosis of pattern dystrophy with bilateral CNV and CF. In the right eye, visually significant CNV worsened post-bevacizumab treatment but responded well to aflibercept. During 4-year follow-up, Snellen visual acuity remained excellent in both eyes at 20/20, including the treatment-naïve left eye. CFs remained markedly stable in both eyes.

Original languageEnglish (US)
Pages (from-to)585-593
Number of pages9
JournalCase Reports in Ophthalmology
Issue number2
StatePublished - Jul 1 2021


  • Aflibercept
  • Bevacizumab
  • Choroidal folds
  • Choroidal neovascularization
  • Pattern dystrophy

ASJC Scopus subject areas

  • Ophthalmology


Dive into the research topics of 'Multimodal Imaging in a Case with Bilateral Choroidal Folds'. Together they form a unique fingerprint.

Cite this