“Paton's Folds” Revisited: Peripapillary Wrinkles, Folds, and Creases in Papilledema

In 1911, Paton and Holmes1 published a seminal paper on the pathology of papilledema which established that papilledema was a consequence of intracranial hypertension and not, as previously thought, an inflammatory process.2 Their study also included several incidental observations about folds in papilledema, now occasionally referred to as “Patons folds.” In their words:“as the disc swells lateralwards, it displaces the retina…throwing it into a series of folds which run concentric with the edge of the disc.