César Adrián Gómez Valdivia, MD » Miscellaneous

Mar 17 2024 by César Adrián Gómez Valdivia, MD

Decreased arterial blood flow to the retina leading to ischemic damage.

Photographer: Erika Paulina Ornelas Cazares

Imaging device: Topcon TRC-50DX

Condition/keywords: branch retinal artery occlusion (BRAO), oclussion

Sep 30 2025 by César Adrián Gómez Valdivia, MD

This fundus photograph shows curvilinear streaks of choroidal rupture radiating from the fovea, associated with subretinal hemorrhage. The rupture lines appear as crescent-shaped, whitish streaks representing a break in Bruch’s membrane, choriocapillaris, and retinal pigment epithelium.

Photographer: @eyemissu2

Imaging device: TOPCON TRX

Condition/keywords: Choroidal, Rupture

Sep 30 2025 by César Adrián Gómez Valdivia, MD

This fundus photograph demonstrates the classic retinal whitening due to inner retinal ischemia, with a cherry-red spot at the fovea. The fovea appears red because it is nourished by the intact choroidal circulation, while the surrounding ischemic retina turns pale.

Photographer: @eyemissu2

Imaging device: TOPCON TRX

Condition/keywords: central retinal artery occlusion (CRAO)

Sep 30 2025 by César Adrián Gómez Valdivia, MD

At the foveal area, there is a yellowish-greenish elevated lesion with indistinct borders, corresponding to a subfoveal choroidal neovascular membrane (CNV). There are subtle overlying changes including mild retinal pigment epithelium (RPE) disruption, and small hemorrhagic spots suggesting active leakage. Surrounding the lesion, there are faint retinal folds or striae, likely due to localized subretinal fibrosis or traction.

Photographer: @eyemissu2

Imaging device: TOPCON TRX

Condition/keywords: Idiopathic Choroidal Neovascularization

Sep 30 2025 by César Adrián Gómez Valdivia, MD

The retinal vasculature is remarkable for pronounced vascular tortuosity, more evident in the superior and inferior temporal arcades. Both arteries and veins follow exaggerated curves and bends, deviating from the expected smooth course across the retina.

Photographer: @eyemissu2

Imaging device: TOPCON TRX

Condition/keywords: Congenital, Tortuosity, vascular tortousity

Aug 14 2026 by César Adrián Gómez Valdivia, MD

Widefield color fundus photograph of the left eye showing a horseshoe-shaped retinal tear in the inferior periphery with an elevated flap and adjacent shallow subretinal fluid.

Photographer: @eyemissu2

Imaging device: Zeiss Clarus

Condition/keywords: horseshoe tear

Aug 14 2026 by César Adrián Gómez Valdivia, MD

Widefield color fundus photograph (Clarus, Zeiss) of the left eye showing a horseshoe-shaped retinal tear in the inferior periphery with an elevated flap and adjacent shallow subretinal fluid.

Photographer: @eyemissu2

Imaging device: Zeiss Clarus

Condition/keywords: horseshoe tear