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CASE REPORT
Year : 2021  |  Volume : 1  |  Issue : 4  |  Page : 662-665

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


Department of Vitreo-retina and Uveitis, Shri Sadguru Seva Sangh Trust, Sadguru Netra Chikitsalaya, Chitrakoot, Madhya Pradesh, India

Correspondence Address:
Dr. Alok Sen
Vitreo-Retina and Uveitis Services, Shri Sadguru Seva Sangh Trust, Sadguru Netra Chikitsalaya, Chitrakoot - 210 204, Madhya Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_75_21

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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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