Pablo Angel García-Uribe, MD, PhD » Extensive Submacular Fibrosis

Jul 23 2026 by Pablo Angel García-Uribe, MD, PhD

A 61-year-old woman with a history of systemic hypertension treated with nifedipine and aspirin 100 mg daily underwent combined phacoemulsification and pars plana vitrectomy in the right eye for cataract and dense vitreous hemorrhage of initially undetermined etiology. This macula-centered color fundus photograph demonstrates a large submacular fibrovascular scar associated with extensive retinal pigment epithelium alterations and multiple areas of subretinal hemorrhage in different stages of evolution. Both chronic and more recent hemorrhagic components are visible within and surrounding the macular region. The clinical appearance was highly suggestive of presumed polypoidal choroidal vasculopathy complicated by recurrent subretinal bleeding and advanced submacular fibrosis.

Photographer: David García-García, Optometrist, Clínica Oftalmológica Salauno, Mexico City

Imaging device: Fundus camera VISUCAM 524(Carl Zeiss Meditec AG, Jena, Germany)

Condition/keywords: fibrosis, idiopathic polypoidal choroidal vasculopathy, partially reabsorbed subretinal hemorrhage, polypoidal choroidal vasculopathy (PCV), subretinal, subretinal hemorrhage, subretinal blood

Jul 23 2026 by Pablo Angel García-Uribe, MD, PhD

A 61-year-old woman with a history of systemic hypertension treated with nifedipine and aspirin 100 mg daily underwent combined phacoemulsification and pars plana vitrectomy in the right eye for cataract and dense vitreous hemorrhage of initially undetermined etiology. This composite color fundus image, created from multiple photographs acquired with the ZEISS Visucam system, demonstrates extensive subretinal hemorrhage in different stages of evolution, including both chronic and recent hemorrhages. A large submacular fibrovascular scar and widespread retinal pigment epithelium alterations are also evident. The clinical appearance was highly suggestive of presumed polypoidal choroidal vasculopathy complicated by recurrent subretinal bleeding and advanced submacular fibrosis.

Photographer: David García-García, Optometrist, Clínica Oftalmológica Salauno, Mexico City

Imaging device: Fundus camera VISUCAM 524(Carl Zeiss Meditec AG, Jena, Germany)

Condition/keywords: fibrosis, idiopathic polypoidal choroidal vasculopathy, partially reabsorbed subretinal hemorrhage, reabsorbing subretinal hemorrhage, subretinal hemorrhage, subretinal blood