César Adrián Gómez Valdivia, MD » Ruptured Macroaneurysm

May 7 2026 by César Adrián Gómez Valdivia, MD

Color fundus photograph demonstrating a ruptured retinal arterial macroaneurysm along the temporal macular arcade, associated with dense premacular/subhyaloid hemorrhage, surrounding intraretinal hemorrhage, and circinate hard exudates extending toward the macula. The findings are consistent with acute hemorrhagic exudative changes secondary to macroaneurysm rupture.

Photographer: César Adrián Gómez Valdivia

Imaging device: Topcon

Condition/keywords: ruptured macroaneurysm

May 7 2026 by César Adrián Gómez Valdivia, MD

Initial OCT B-scan demonstrating a large hyperreflective intraretinal hemorrhage with marked posterior shadowing, causing distortion and partial obscuration of the underlying macular architecture. Adjacent intraretinal hyperreflective deposits/exudation and retinal thickening are present. Hyperreflective dots are also visible in the vitreous, consistent with associated subhyaloid/premacular hemorrhage. Findings are consistent with acute hemorrhagic and exudative changes secondary to a ruptured retinal arterial macroaneurysm.

Photographer: César Adrián Gómez Valdivia

Imaging device: Heidelberg E.

Condition/keywords: Ruptured Macroaneurysm OCT

May 7 2026 by César Adrián Gómez Valdivia, MD

Follow-up color fundus photograph after intravitreal aflibercept and pneumatic displacement showing marked clearing/displacement of the premacular hemorrhage, with residual intraretinal hemorrhage along the temporal arcade and persistent circinate hard exudates involving the macular region. The retinal arterial macroaneurysm remains visible, with improved visualization of the posterior pole compared with the initial presentation.

Photographer: César Adrián Gómez-Valdivia

Imaging device: Topcon

Condition/keywords: ruptured macroaneurysm

May 7 2026 by César Adrián Gómez Valdivia, MD

Follow-up OCT B-scan after intravitreal aflibercept and pneumatic displacement demonstrating interval displacement and partial resolution of the intraretinal hemorrhage, with residual hyperreflective intraretinal hemorrhagic material and persistent posterior shadowing. Scattered hyperreflective dots are visible in the vitreous, consistent with residual associated subhyaloid/premacular hemorrhage. There is improved visualization of the foveal contour compared with the initial presentation. Findings are consistent with evolving hemorrhagic and exudative changes secondary to a ruptured retinal arterial macroaneurysm

Photographer: César Adrián Gómez Valdivia

Imaging device: Heidelberg E.

Condition/keywords: ruptured macroaneurysm