Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 8 5 2024 03 13 194 197 leyla Rezaei Clinical Research Development Center of Imam Khomeini and Mohammad Kermanshahi and Farabi Hospitals, Kermanshah University of Medical Sciences, Kermanshah, Iran Mohamad Nazarian Clinical Research Development Center of Imam Khomeini and Mohammad Kermanshahi and Farabi Hospitals, Kermanshah University of Medical Sciences, Kermanshah, Iran 2023 02 24 2023 11 11 This study aims to present an unusual combination of choroidal folds and a myelinated nerve fibre layer. The right eye of a 45-year-old male had been experiencing vision loss for the past six months.An ophthalmic examination revealed a distinct peripapillary white striated patch with feathered borders approximately two disc diameters in size at the nasal pole of the optic disc in both eyes. Choroidal folds involving the macula were also observed in the right eye. This is the first report of an association between a myelinated nerve fiber layer (MNFL) and choroidal folds. https://crcp.tums.ac.ir/index.php/crcp/article/view/798