Bacillary layer detachment in a case of sympathetic ophthalmia: Presentation and pattern of resolution on swept-source optical coherence tomography

The terminology of bacillary layer detachment (BLD) has been used vicariously to describe the splitting of the photoreceptor layers at the level of the myoids and has been discerned in multiple uveitic pathologies. To add to the existing literature, we report BLD in the acute stage of sympathetic op...

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Bibliographic Details
Published inIndian Journal of Ophthalmology - Case Reports Vol. 1; no. 4; pp. 662 - 665
Main Authors Shenoy, Pratik, Kohli, Gaurav, Bhatia, Priyavrat, Sen, Alok
Format Journal Article
LanguageEnglish
Published Wolters Kluwer India Pvt. Ltd 01.10.2021
Medknow Publications and Media Pvt. Ltd
Subjects
Care and treatment
Case studies
Development and progression
Eye diseases
India
swept-source OCT
steroids
sympathetic ophthalmia
optical coherence tomography
Bacillary layer detachment
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ISSN2772-3070
2772-3089
DOI10.4103/ijo.IJO_75_21

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Summary:The terminology of bacillary layer detachment (BLD) has been used vicariously to describe the splitting of the photoreceptor layers at the level of the myoids and has been discerned in multiple uveitic pathologies. To add to the existing literature, we report BLD in the acute stage of sympathetic ophthalmia presenting as an enclosed outer retinal cyst extending between the external limiting membrane and retinal pigment epithelium with disruption of the outer retinal layers and apparent splitting of the photoreceptor myoid zone at its margins. The cystic-appearing BLD collapsed following treatment with systemic steroids with improvement in vision.
ISSN:2772-3070
2772-3089
DOI:10.4103/ijo.IJO_75_21