A Rare Pattern of 360 degrees Radiating Choroidal Folds Associated With an Orbital Abscess

Abstract

A 78-year-old woman presented with periorbital swelling and visual loss in the right eye after a tooth extraction. Initial visual acuity was reduced to counting fingers in the right eye. No afferent pupillary defect was found on initial examination. Computed tomography revealed axial elongation due to increased orbital pressure caused by the orbital abscess. The authors present a case with a rare pattern of choroidal folds radiating 360 degrees from the optic disc. Initial optical coherence tomography revealed a markedly folded Bruch's membrane and retinal pigment epithelium, which disappeared completely 2 months after surgical drainage of the orbital abscess. Retinal images in this report can provide a better understanding of the pathogenesis of the choroidal folds.