César Adrián Gómez Valdivia, MD » ERM Foveoschisis

Sep 9 2026 by César Adrián Gómez Valdivia, MD

Color fundus photograph showing a macular hole with an associated epiretinal membrane exhibiting the classic cellophane sheen — a glinting, crinkled light reflex over the macula from the taut, semitranslucent fibrocellular membrane. The hole itself appears as a well-circumscribed round red lesion at its center, with the surrounding retinal striae reflecting the membrane's tangential traction.

Photographer: @eyemissu2

Imaging device: Zeiss Clarus

Condition/keywords: epiretinal membrane (ERM)

Sep 9 2026 by César Adrián Gómez Valdivia, MD

OCT Showing a lamellar macular hole with a tangential epiretinal membrane and classic "moustache sign" foveoschisis — oblique hyperreflective tracts radiating from the hole edges from ERM traction. The outer retinal layers (ellipsoid zone, RPE) remain intact at the base, a favorable prognostic sign that also informs the surgical approach (combined ERM/ILM peeling).

Photographer: @eyemissu2

Condition/keywords: epiretinal membrane (ERM)