César Adrián Gómez Valdivia, MD » PCV

Jun 29 2026 by César Adrián Gómez Valdivia, MD

Color fundus photograph showing a yellow-orange subretinal macular lesion associated with extensive surrounding hard exudates in a circinate distribution. The findings are consistent with active polypoidal choroidal vasculopathy with exudative macular involvement.

Photographer: César Adrián Gómez-Valdivia

Imaging device: Topcon

Condition/keywords: polypoidal choroidal vasculopathy (PCV)

Jun 29 2026 by César Adrián Gómez Valdivia, MD

Spectral-domain OCT through the macula showing a large, steep pigment epithelial detachment with heterogeneous hyperreflective sub-RPE material and associated subretinal fluid. Adjacent intraretinal cystoid changes are also present.

Photographer: César Adrián Gómez-Valdivia

Imaging device: HE

Condition/keywords: Active Polypoidal Choroidal Neovascularization, idiopathic polypoidal choroidal vasculopathy

Jun 29 2026 by César Adrián Gómez Valdivia, MD

Short-wavelength fundus autofluorescence image obtained with Heidelberg Spectralis showing a central area of marked hypoautofluorescence corresponding to the macular exudative lesion and probable pigment epithelial detachment. Surrounding irregular hyperautofluorescent and hypoautofluorescent changes are seen, reflecting retinal pigment epithelium disturbance and chronic exudative activity in polypoidal choroidal vasculopathy.

Photographer: César Adrián Gómez Valdivia

Imaging device: HE

Condition/keywords: Active Polypoidal Choroidal Neovascularization, idiopathic polypoidal choroidal vasculopathy

Jun 29 2026 by César Adrián Gómez Valdivia, MD

Fluorescein angiography demonstrating irregular macular hyperfluorescence with areas of staining and late leakage corresponding to the exudative lesion seen clinically. Patchy blocked fluorescence is present in the macular region, likely related to pigment epithelial detachment, subretinal material, and hemorrhagic or pigmentary changes.

Photographer: César Adrián Gómez Valdivia

Imaging device: Topcon

Condition/keywords: idiopathic polypoidal choroidal vasculopathy