DR. AKSHAT KOTHARI

DR.MANPREET CHUGH, DR.RUPAK ROY, DR. KUMAR SAURABH

Abstract

Bacillary layer detachment (BLD) is an OCT (Optical Coherence Tomography) finding depicting split within inner-segment of myoids. We present a case of Acute Idiopathic Maculopathy in young female who presented with sudden painless diminution of vision in left eye without a prodromal viral illness. On OCT splitting of ellipsoid and myoid zone of rod inner-segments was noted suggestive of bacillary layer detachment whereas OCTA(OCT-Angiography) showed flow void areas on choriocapillaris slab. Bacillary layer detachment in Acute Idiopathic Maculopathy occurs due to poor choroidal perfusion leading to stress and splitting of Bacillary layer. However once choroidal perfusion improves, BLD resolves and hence no treatment is required.