Sir,

Choroidal folds can develop in association with any intra- or extraocular process that induces sufficient compressive stress within the choroid, Bruch's membrane, and retina to force these tissues to buckle. In other words, any deviation from a spherical shape (that represents the least surface area shape) results in increased surface area that is compensated for by folding of tissues. Choroidal folds can be secondary to hypotony, posterior scleritis, ocular/orbital mass, macular degeneration, scleral buckle, hyperopia, and papilledema. In some cases, no clear aetiology can be determined (idiopathic). Herein, we describe a case of parasellar meningioma, with extension into orbital apex and optic nerve, in a patient presenting with ipsilateral choroidal folds.

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