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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| Published in | Indian Journal of Ophthalmology - Case Reports Vol. 1; no. 4; pp. 662 - 665 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
Wolters Kluwer India Pvt. Ltd
01.10.2021
Medknow Publications and Media Pvt. Ltd |
| Subjects | |
| Online Access | Get full text |
| ISSN | 2772-3070 2772-3089 |
| DOI | 10.4103/ijo.IJO_75_21 |
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| Abstract | 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. |
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| AbstractList | 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. |
| Audience | Academic |
| Author | Bhatia, Priyavrat Kohli, Gaurav Shenoy, Pratik Sen, Alok |
| Author_xml | – sequence: 1 givenname: Pratik surname: Shenoy fullname: Shenoy, Pratik organization: Department of Vitreo-retina and Uveitis, Shri Sadguru Seva Sangh Trust, Sadguru Netra Chikitsalaya, Chitrakoot, Madhya Pradesh – sequence: 2 givenname: Gaurav surname: Kohli fullname: Kohli, Gaurav organization: Department of Vitreo-retina and Uveitis, Shri Sadguru Seva Sangh Trust, Sadguru Netra Chikitsalaya, Chitrakoot, Madhya Pradesh – sequence: 3 givenname: Priyavrat surname: Bhatia fullname: Bhatia, Priyavrat organization: Department of Vitreo-retina and Uveitis, Shri Sadguru Seva Sangh Trust, Sadguru Netra Chikitsalaya, Chitrakoot, Madhya Pradesh – sequence: 4 givenname: Alok surname: Sen fullname: Sen, Alok organization: Department of Vitreo-retina and Uveitis, Shri Sadguru Seva Sangh Trust, Sadguru Netra Chikitsalaya, Chitrakoot, Madhya Pradesh |
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| Cites_doi | 10.1097/IAE.0000000000002914 10.1016/j.ajo.2008.03.026 10.1186/1869-5760-3-49 10.4103/ijo.IJO_1434_20 10.1016/j.oret.2019.12.003 10.1016/j.ophtha.2009.04.002 10.1007/s10384-012-0132-9 10.1007/s10792-011-9432-1 |
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| Keywords | swept-source OCT steroids sympathetic ophthalmia optical coherence tomography Bacillary layer detachment |
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| References | Cicinelli (R4-17-20240902) 2020; 4 Parikh (R7-17-20240902) 2008; 146 Chu (R9-17-20240902) 2013; 3 Gupta (R10-17-20240902) 2011; 31 Kaneko (R8-17-20240902) 2012; 56 Markan (R6-17-20240902) 2020; 68 Ishihara (R12-17-20240902) 2009; 116 Agarwal (R3-17-20240902) 2021; 41 |
| References_xml | – volume: 41 start-page: 774 year: 2021 ident: R3-17-20240902 article-title: Bacillary layer detachment in acute vogt-koyanagi-harada disease: A novel swept-source optical coherence tomography analysis publication-title: Retina doi: 10.1097/IAE.0000000000002914 – volume: 146 start-page: 866 year: 2008 ident: R7-17-20240902 article-title: Photoreceptor oxidative damage in sympathetic ophthalmia publication-title: Am J Ophthalmol doi: 10.1016/j.ajo.2008.03.026 – volume: 3 start-page: 49 year: 2013 ident: R9-17-20240902 article-title: Sympathetic ophthalmia: To the twenty-first century and beyond publication-title: J Ophthalmic Inflamm Infect doi: 10.1186/1869-5760-3-49 – volume: 68 start-page: 1944 year: 2020 ident: R6-17-20240902 article-title: Bacillary layer detachment in tubercular choroidal granuloma: A new optical coherence tomography finding publication-title: Indian J Ophthalmol doi: 10.4103/ijo.IJO_1434_20 – volume: 4 start-page: 454 year: 2020 ident: R4-17-20240902 article-title: The bacillary detachment in posterior segment ocular diseases publication-title: Ophthalmol Retina doi: 10.1016/j.oret.2019.12.003 – volume: 116 start-page: 1799 year: 2009 ident: R12-17-20240902 article-title: Acute Vogt-Koyanagi-Harada disease in enhanced spectral-domain optical coherence tomography publication-title: Ophthalmology doi: 10.1016/j.ophtha.2009.04.002 – volume: 56 start-page: 191 year: 2012 ident: R8-17-20240902 article-title: Mitochondrial oxidative stress initiates visual loss in sympathetic ophthalmia publication-title: Jpn J Ophthalmol doi: 10.1007/s10384-012-0132-9 – volume: 31 start-page: 105 year: 2011 ident: R10-17-20240902 article-title: Reversible retinal changes in the acute stage of sympathetic ophthalmia seen on spectral domain optical coherence tomography publication-title: Int Ophthalmol doi: 10.1007/s10792-011-9432-1 |
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| Title | Bacillary layer detachment in a case of sympathetic ophthalmia: Presentation and pattern of resolution on swept-source optical coherence tomography |
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