Gustavo Uriel Fonseca Aguirre » Miscellaneous

  • Submacular Hemorrhage

    Sep 24 2024 by Gustavo Uriel Fonseca Aguirre

    24-year-old patient, submacular hemorrhage is observed in the left eye secondary to blunt ocular trauma.

    Photographer: Gustavo U. Fonseca Aguirre, Fundación Hospital Nuestra Señora de la Luz, Ciudad de México

    Condition/keywords: submacular hemorrhage

  • Ocular Toxoplasmosis

    Sep 24 2024 by Gustavo Uriel Fonseca Aguirre

    24-year-old patient with a history of retinochoroiditis due to toxoplasmosis in the right eye, a focus of retinochoroiditis reactivation of toxoplasmosis is observed.

    Photographer: Gustavo U. Fonseca Aguirre, Fundación Hospital Nuestra Señora de la Luz, Ciudad de México

    Condition/keywords: Kyrieleis arteritis, toxoplasmosis reactivation

  • Coats Disease

    Sep 24 2024 by Gustavo Uriel Fonseca Aguirre

    A 5-year-old male patient with no ophthalmological history, diagnosed with Coats disease in the right eye.

    Photographer: Gustavo U. Fonseca Aguirre, Fundación Hospital Nuestra Señora de la Luz, Ciudad de México

    Condition/keywords: Coats' disease

  • Branch Retinal Artery Occlusion

    Sep 24 2024 by Gustavo Uriel Fonseca Aguirre

    60-year-old male patient diagnosed with diabetes with superior temporal retinal artery branch occlusion.

    Photographer: Gustavo U. Fonseca Aguirre, Fundación Hospital Nuestra Señora de la Luz, Ciudad de México

    Condition/keywords: branch retinal vein occlusion (BRVO)

  • Optic Nerve Head Avulsion

    Sep 24 2024 by Gustavo Uriel Fonseca Aguirre

    A 14-year-old male with a history of blunt ocular trauma in the right eye presented partial avulsion of the optic nerve head and submacular hemorrhage that was managed with neumatic displacement.

    Photographer: Gustavo U. Fonseca Aguirre, Fundación Hospital Nuestra Señora de la Luz, Ciudad de México

    Condition/keywords: optic nerve head avulsion

  • Lacteocrumenasia

    Mar 11 2025 by Gustavo Uriel Fonseca Aguirre

    A 75-year-old female with a history of cataract surgery with intraocular lens implantation 20 years ago presented with progressive visual loss. On slit lamp examination, opaque material was found in the capsular bag behind the intraocular lens. Ultrasound biomicroscopy revealed hyperechoic material contained in the temporal-posterior sector of the capsular bag corresponding to lacteocrumenasia.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: Lacteocrumenasia, ultrasound biomicroscopy

  • Hyaloid Butterfly

    Mar 13 2025 by Gustavo Uriel Fonseca Aguirre

    Axial ultrasound showing a phakic eye with vitreous hemorrhage, hyaloids impregnated with blood, hyalochisis (butterfly-shaped), subhyaloid hemorrhage, and retinal tractions involving the macular area.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: Hyaloschisis, Sub hyaloid haemorrhage, Vitreous hemorrhage

  • Three Kisses

    Mar 18 2025 by Gustavo Uriel Fonseca Aguirre

    Cross-section of a B-mode ultrasound showing a kiss-shaped choroidal detachment; three lobes, giving the appearance of three kisses.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: Kissing Choroidal Detachment

  • Disco Ball

    Mar 19 2025 by Gustavo Uriel Fonseca Aguirre

    Cross-section of B-mode ultrasound showing intense asteroid hyalosis.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: Asteroid hyalosis

  • Ectopia Lentis

    Mar 21 2025 by Gustavo Uriel Fonseca Aguirre

    Cross-section of B-mode ultrasound showing the lens in the lower part of the vitreous cavity.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: ectopia lentis

  • Vasoproliferative Tumor

    Mar 25 2025 by Gustavo Uriel Fonseca Aguirre

    Patient diagnosed with pars planitis and a history of phacovitrectomy. Longitudinal B-scan section showing a very pronounced, homogeneous tumor lesion in the periphery. The A-scan revealed high average reflectivity with an irregular internal structure.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Oftalmológico de la Luz, Ciudad de México

    Condition/keywords: pars planitis, Vasoproliferative Tumor

  • Melanocytoma

    Mar 25 2025 by Gustavo Uriel Fonseca Aguirre

    Longitudinal B-scan echogram shows mildly elevated lesion overlying surface of optic nerve. A-scan shows regular internal structure and high reflectivity of lesion.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: Melanocytoma

  • IOL in Vitreous Cavity

    Mar 25 2025 by Gustavo Uriel Fonseca Aguirre

    Peripheral cross-section of B-mode ultrasound showing IOL dislocated into the vitreous cavity.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: IOL, vitreous cavity

  • Macular Hole in Tractional Retinal Detachment

    Apr 1 2025 by Gustavo Uriel Fonseca Aguirre

    B-scan findings in a diabetic patient reveal vitreous hemorrhage, blood-soaked hyaloids, and tractional retinal detachment with an associated macular hole in the posterior pole.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: macular hole, tractional retinal detachment

  • IOL Reverberation

    Apr 3 2025 by Gustavo Uriel Fonseca Aguirre

    Top: Axial B-scan ultrasonography demonstrating an IOL with associated vitreous reverberation artifacts. Bottom: A-mode tracing revealing characteristic spike patterns consistent with IOL-induced reverberation.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: IOL, ultrasound

  • Intraocular Foreign Body

    Apr 3 2025 by Gustavo Uriel Fonseca Aguirre

    B-mode ultrasonography of an eye with a 1-year history of suspected blunt trauma revealed an incidental intraocular foreign body within the vitreous cavity.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: intraocular foreign body

  • Cyclodialysis

    Apr 3 2025 by Gustavo Uriel Fonseca Aguirre

    Ultrasound biomicroscopy (UBM) of a blunt-traumatized eye revealing cyclodialysis, zonular disruption with lenticular ectopia, and anterior chamber vitreous prolapse.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: cyclodialysis

  • Asteroidal Hyalosis

    Apr 7 2025 by Gustavo Uriel Fonseca Aguirre

    B-mode ultrasound reveals an eye with significant asteroid hyalosis, with no relevant pathological history.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: asteroid hyalosis

  • Calcification of the Retina

    Apr 7 2025 by Gustavo Uriel Fonseca Aguirre

    B-mode ultrasound of a vitrectomized eye reveals emulsified silicone oil in the vitreous cavity, retinal detachment, and calcification of the retina and optic nerve head.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: calcification, Retina detachment, vitrectomy

  • Stag Horn

    Apr 8 2025 by Gustavo Uriel Fonseca Aguirre

    B-mode ultrasound of a young male patient with bilateral panuveitis (currently under investigation) reveals intense vitritis with islands of preserved vitreous and partial posterior hyaloid detachment, creating a characteristic "stag horn" appearance.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: Panuveitis

  • Retinal Detachment Associated With a Posterior Staphyloma

    Apr 9 2025 by Gustavo Uriel Fonseca Aguirre

    B-mode axial ultrasound scan of a highly myopic eye shows a posterior staphyloma with an associated macular hole-induced retinal detachment.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: high myopia, posterior staphyloma, rhegmatogenous retinal detachment

  • Advanced Proliferative Diabetic Retinopathy

    Apr 9 2025 by Gustavo Uriel Fonseca Aguirre

    B-mode ultrasound of a patient with long-standing poorly controlled diabetes demonstrates characteristic findings of advanced proliferative diabetic retinopathy. The examination reveals moderate vitreous hemorrhage appearing as diffuse hyperechoic opacities throughout the vitreous cavity, along with a posterior hyaloid membrane densely infiltrated by hemorrhagic material, showing irregular thickening and increased reflectivity. A mild subhyaloid hemorrhage is visible as a subtle hyphema-like space anterior to the retinal surface. The study documents a total tractional retinal detachment, evidenced by rigid retinal folds with clear insertion points of vitreous strands, accompanied by a significant subretinal hemorrhage seen as a prominent hyperechoic collection beneath the elevated retina. These findings collectively illustrate the severe vitreoretinal interface pathology characteristic of end-stage diabetic eye disease, with predominant tractional components and distinct echographic stratification of hemorrhagic layers - from anterior vitreous involvement to deeper subretinal blood accumulation.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: diabetic retinopathy, tractional retinal detachment, Vitreous hemorrhage

  • Traumatic Posterior Capsular Rupture

    Apr 9 2025 by Gustavo Uriel Fonseca Aguirre

    Immersion B-mode ultrasound in a patient with blunt ocular trauma demonstrates an isolated posterior lens capsule rupture accompanied by phacodonesis.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: blunt trauma, Posterior Capsular Rupture

  • Hemorrhagic Choroidal Detachment

    Apr 14 2025 by Gustavo Uriel Fonseca Aguirre

    This B-mode transverse ultrasound scan demonstrates a hemorrhagic choroidal detachment with a characteristic wreath-like configuration, accompanied by concurrent retinal detachment. The choroidal lesion shows dome-shaped elevation with heterogeneous internal reflectivity, while the detached retina appears as a hyperechoic, undulating membrane.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: hemorrhagic choroidal detachment

  • PCR

    Apr 17 2025 by Gustavo Uriel Fonseca Aguirre

    B-mode transverse ultrasound scan of an eye with recent posterior capsule rupture during phacoemulsification shows hyperechoic punctate echoes in the vitreous (consistent with residual viscoelastic material) along with lens fragments in the subhyaloid space.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: Posterior capsule rupture (PCR)

  • Proliferative Vitreoretinopathy

    Apr 17 2025 by Gustavo Uriel Fonseca Aguirre

    This B-mode transverse ultrasound scan depicts a post-vitrectomy eye with recurrent retinal detachment in a patient with diabetic retinopathy history. The image reveals fresh vitreous cavity hemorrhage and subretinal bleeding, along with subretinal proliferative bands (PVR strands). These findings indicate complicated tractional re-detachment with active hemorrhagic components.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: proliferative vitreoretinopathy (PVR)

  • Vitreous Waltz vs Retinal Rigidity

    Apr 18 2025 by Gustavo Uriel Fonseca Aguirre

    B-mode dynamic ultrasound of an eye with vitreous hemorrhage shows hyaloid traction inducing retinal detachment in diabetic retinopathy. The video clearly delineates all anatomical compartments: vitreous, subhyaloid, and subretinal spaces. Characteristic movement patterns are observed - the vitreous demonstrates smooth, wide excursions while the detached retina shows shorter, stiffer motions -confirming tractional pathology.

    Condition/keywords: diabetic retinopathy, retinal detachment