Gaurav Mohan Kohli1, Priyavrat Bhatia1, Pratik Shenoy1, Alok Sen1, Amod Gupta2. 1. Vitreo-retina and Uveitis, Sadguru Netra Chikitsalaya, Chitrakoot, India. 2. Department of Ophthalmology, Post Graduate Institute of Medical Education and Research Advanced Eye Center, Chandigarh, India.
Abstract
BACKGROUND: The term bacillary layer detachment (BLD) represents a possible separation between the myoid and ellipsoid component of the inner segment, following insult or injury to the outer retina. It has been described previously in cases of toxoplasma retinochoroiditis, central serous chorioretinopathy, Vogt Koyanagi Harada disease and trauma. PURPOSE: To describe the presence of BLD in Acute Posterior Multifocal Placoid Pigment Epitheliopathy (APMPPE). METHOD: Clinical and OCT-based description of three consecutive cases of APMPPE with BLD. RESULT: All the three cases (a 25-year-old female, a 36-year-old male, and a 32-year-old male) presented with unilateral, diminution of vision of acute onset. They were diagnosed as APMPPE and OCT revealed a splitting of the ellipsoid zone, resembling a BLD. All the three cases showed complete resolution by 1 week. CONCLUSION: BLD appears in the acute stage of APMPPE and resolves rapidly within a week.
BACKGROUND: The term bacillary layer detachment (BLD) represents a possible separation between the myoid and ellipsoid component of the inner segment, following insult or injury to the outer retina. It has been described previously in cases of toxoplasma retinochoroiditis, central serous chorioretinopathy, Vogt Koyanagi Harada disease and trauma. PURPOSE: To describe the presence of BLD in Acute Posterior Multifocal Placoid Pigment Epitheliopathy (APMPPE). METHOD: Clinical and OCT-based description of three consecutive cases of APMPPE with BLD. RESULT: All the three cases (a 25-year-old female, a 36-year-old male, and a 32-year-old male) presented with unilateral, diminution of vision of acute onset. They were diagnosed as APMPPE and OCT revealed a splitting of the ellipsoid zone, resembling a BLD. All the three cases showed complete resolution by 1 week. CONCLUSION: BLD appears in the acute stage of APMPPE and resolves rapidly within a week.