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Bacillary Layer Detachment in Diabetic Retinopathy: A Case Report
Abdulrahim Amini1, Hamid Riazi-Esfahani2,3, Kasra Cheraqpour2
1Department of Ophthalmology, School of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Case Reports in Ophthalmology
|February 23, 2023
Summary
This study reports the first case of bacillary layer detachment (BLD) in diabetic retinopathy treated with anti-VEGF therapy. Intravitreal bevacizumab resolved BLD and improved vision, suggesting a link between choroidal ischemia and BLD.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Diabetic Retinopathy
Background:
- Diabetic retinopathy is a leading cause of vision loss.
- Anti-vascular endothelial growth factor (anti-VEGF) therapy is a common treatment for diabetic retinopathy.
- Bacillary layer detachment (BLD) is a rare finding in macular diseases.
Observation:
- A 55-year-old female with diabetic retinopathy presented with decreased vision.
- Spectral-domain optical coherence tomography revealed bacillary layer detachment (BLD) in the left eye.
- The patient received a single intravitreal bevacizumab injection.
Findings:
- The patient experienced significant improvement in best-corrected visual acuity (BCVA).
- Complete resolution of bacillary layer detachment (BLD) was observed after 4 weeks.
- This case highlights the efficacy of anti-VEGF therapy in resolving BLD.
Implications:
- Bacillary layer detachment (BLD) may be a marker of fluid accumulation in diabetic retinopathy.
- Choroidal ischemia associated with diabetes mellitus could contribute to photoreceptor stress and BLD.
- Further research is warranted to understand the role of BLD in various macular conditions.
