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Bacillary Layer Detachment in Diabetic Retinopathy: A Case Report

To our knowledge, this is the first report to describe bacillary layer detachment (BLD) in a patient with diabetic retinopathy treated with anti-vascular endothelial growth factor. We present the case of a 55-year-old diabetic female who was referred to our hospital complaining of decreased vision i...

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Autores principales: Amini, Abdulrahim, Riazi-Esfahani, Hamid, Cheraqpour, Kasra, Johari, Mohammadkarim, Bolkheir, Alireza, Mahdizad, Zahra, Ghassemi, Fariba
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9938396/
https://www.ncbi.nlm.nih.gov/pubmed/36820306
http://dx.doi.org/10.1159/000529314
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author Amini, Abdulrahim
Riazi-Esfahani, Hamid
Cheraqpour, Kasra
Johari, Mohammadkarim
Bolkheir, Alireza
Mahdizad, Zahra
Ghassemi, Fariba
author_facet Amini, Abdulrahim
Riazi-Esfahani, Hamid
Cheraqpour, Kasra
Johari, Mohammadkarim
Bolkheir, Alireza
Mahdizad, Zahra
Ghassemi, Fariba
author_sort Amini, Abdulrahim
collection PubMed
description To our knowledge, this is the first report to describe bacillary layer detachment (BLD) in a patient with diabetic retinopathy treated with anti-vascular endothelial growth factor. We present the case of a 55-year-old diabetic female who was referred to our hospital complaining of decreased vision in her left eye for 2 weeks. Fundus examination of both eyes was compatible with diabetic retinopathy. Spectral-domain optical coherence tomography of the left eye showed a large dome-shaped cystic space with marginal septa, splitting the myoid zone, consistent with the BLD phenotype. A single dose of intravitreal bevacizumab injection was administered. After 4 weeks, BCVA was improved significantly with complete resolution of BLD. Underlying choroidal ischemia in patients with different vascular disorders like diabetes mellitus may lead to photoreceptor stress and BLD. This study adds to the growing literature, which describes BLD as a marker of fluid accumulation in relation to several macular diseases.
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spelling pubmed-99383962023-02-19 Bacillary Layer Detachment in Diabetic Retinopathy: A Case Report Amini, Abdulrahim Riazi-Esfahani, Hamid Cheraqpour, Kasra Johari, Mohammadkarim Bolkheir, Alireza Mahdizad, Zahra Ghassemi, Fariba Case Rep Ophthalmol Case Report To our knowledge, this is the first report to describe bacillary layer detachment (BLD) in a patient with diabetic retinopathy treated with anti-vascular endothelial growth factor. We present the case of a 55-year-old diabetic female who was referred to our hospital complaining of decreased vision in her left eye for 2 weeks. Fundus examination of both eyes was compatible with diabetic retinopathy. Spectral-domain optical coherence tomography of the left eye showed a large dome-shaped cystic space with marginal septa, splitting the myoid zone, consistent with the BLD phenotype. A single dose of intravitreal bevacizumab injection was administered. After 4 weeks, BCVA was improved significantly with complete resolution of BLD. Underlying choroidal ischemia in patients with different vascular disorders like diabetes mellitus may lead to photoreceptor stress and BLD. This study adds to the growing literature, which describes BLD as a marker of fluid accumulation in relation to several macular diseases. S. Karger AG 2023-02-17 /pmc/articles/PMC9938396/ /pubmed/36820306 http://dx.doi.org/10.1159/000529314 Text en © 2023 The Author(s). Published by S. Karger AG, Basel https://creativecommons.org/licenses/by-nc/4.0/This article is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Case Report
Amini, Abdulrahim
Riazi-Esfahani, Hamid
Cheraqpour, Kasra
Johari, Mohammadkarim
Bolkheir, Alireza
Mahdizad, Zahra
Ghassemi, Fariba
Bacillary Layer Detachment in Diabetic Retinopathy: A Case Report
title Bacillary Layer Detachment in Diabetic Retinopathy: A Case Report
title_full Bacillary Layer Detachment in Diabetic Retinopathy: A Case Report
title_fullStr Bacillary Layer Detachment in Diabetic Retinopathy: A Case Report
title_full_unstemmed Bacillary Layer Detachment in Diabetic Retinopathy: A Case Report
title_short Bacillary Layer Detachment in Diabetic Retinopathy: A Case Report
title_sort bacillary layer detachment in diabetic retinopathy: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9938396/
https://www.ncbi.nlm.nih.gov/pubmed/36820306
http://dx.doi.org/10.1159/000529314
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