César Adrián Gómez Valdivia, MD » Stargardt Disease

Jun 22 2026 by César Adrián Gómez Valdivia, MD

Color fundus photograph showing bilateral-appearing macular involvement centered at the posterior pole, with multiple yellow-white pisciform flecks and areas of retinal pigment epithelium mottling. The foveal region demonstrates pigmentary changes and atrophic-appearing alteration, consistent with Stargardt disease.

Photographer: César Adrián Gómez Valdivia

Imaging device: Topcon

Condition/keywords: Stargardt disease

Jun 22 2026 by César Adrián Gómez Valdivia, MD

Spectral-domain OCT obtained with Heidelberg Spectralis demonstrating central outer retinal and retinal pigment epithelium disruption with increased choroidal signal transmission, corresponding to macular atrophy. Scattered hyperreflective deposits and irregularity at the RPE/outer retinal complex are seen adjacent to the atrophic area, consistent with flecks in Stargardt disease.

Photographer: Cesar Adrián Gómez Valdivia

Imaging device: Hedelberg E.

Condition/keywords: Stargardt Disease

Jun 22 2026 by César Adrián Gómez Valdivia, MD

Short-wavelength fundus autofluorescence image obtained with Heidelberg Spectralis, demonstrating a dense central area of hypoautofluorescence at the macula consistent with retinal pigment epithelium atrophy. Multiple surrounding flecks show mixed autofluorescence, forming a perifoveal/perimacular pattern characteristic of Stargardt disease.

Photographer: Cesar Adrián Gómez Valdivia

Imaging device: Hedielberg E.

Condition/keywords: autofluorescence imaging

Jun 22 2026 by César Adrián Gómez Valdivia, MD

Ultrawidefield green-light fundus autofluorescence image demonstrating a central area of marked hypoautofluorescence at the macula, consistent with retinal pigment epithelium atrophy, surrounded by numerous scattered flecks showing mixed autofluorescence throughout the posterior pole and extending toward the midperiphery. Findings are characteristic of Stargardt disease.

Photographer: Cesar Adrián Gómez Valdivia

Imaging device: Optos

Condition/keywords: Stargardt disease