Presumed Polypoidal Choroidal Vasculopathy with Extensive Submacular Fibrosis and Recurrent Subretinal Hemorrhage

• By Pablo Angel García-Uribe, MD, PhD
  Clínica Oftalmológica Salauno
• Uploaded on Jul 23, 2026.
• Last modified by Pablo Angel García-Uribe, MD, PhD on Aug 1, 2026.

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Appears in

Extensive Submacular Fibrosis

Condition/keywords

idiopathic polypoidal choroidal vasculopathy, polypoidal choroidal vasculopathy (PCV), fibrosis, subretinal, subretinal hemorrhage, subretinal blood, partially reabsorbed subretinal hemorrhage

Photographer

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

Imaging device

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

Description

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.

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