Bacillary Layer Detachment in Unilateral Acute Idiopathic Maculopathy: A Report of 2 Cases

ABSTRACT

Aim

To report the presence of bacillary layer detachment (BLD) in unilateral acute idiopathic maculopathy (UAIM).

Case description

Two patients diagnosed with UAIM based on the clinical and imaging features showed the characteristic splitting of the ellipsoid layer on spectral domain optical coherence tomography (SDOCT). This has been termed as bacillary layer detachment.

Results

No treatment was given. In both cases, there was a complete spontaneous resolution of the SDOCT findings 14-days post-presentation in Case 1 and 5-days post-presentation in Case 2 with improvement in visual acuity to 20/20, N6 in both cases.

Conclusion

BLD in UAIM is not a commonly reported SDOCT finding and can serve as an imaging biomarker.

KEYWORDS:

• Acute idiopathic maculopathy
• bacillary layer detachment
• optical coherence tomography imaging

Authors’ contributions

RV – conceptualizing the study, data acquisition, analyzing the data, interpreting the findings, writing & reviewing the manuscript

CJ, MPA, NKY – critical review of the manuscript

RS, NR – data acquisition

Availability of data and materials

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

Consent for publication

Informed consent was obtained from individual patients included in the report. The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given his consent for his/her images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Disclosure of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

Statement on human and animal rights

“This article does not contain any studies with animals performed by any of the authors.”

Additional information

Funding

The authors have no funding to report.