Bacillary Layer Detachment and Serous Retinal Detachment- October 2022

Thanks to everyone who showed interest in the section of question of the month and answered the question. In this month’s question, determine the diagnosis by looking OCT image in a 16-year-old male patient was asked.

The answer to the question is ‘A Bacillary Layer Detachment and Serous Retinal Detachment in a Case of Central Serous Chorioretinopathy. The result of the lottery among those who answered the question correctly, the winner of this month’s book prize is Furkan Kırık, MDCongratulations to him. 

Detachment of the bacillary layer has been reported recently, associated with different pathologies resulting in a hyperacute choroidal exudation, including posterior scleritis, systemic lupus erythematosus, toxicity secondary to anti-BRAF/anti-MEK therapy in melanoma, neovas- cularization secondary to choroidal osteoma, pulmonary and breast choroidal metastases, trauma, and peripapillary pachychoroid syndrome. 

Bacillary layer detachment is a clinically recognizable entity can be present not only as a result of hyperacute choroidal exudation associated with inflammatory events but also due to congestion and choroidal hyperpermeability linked to a circulatory abnormality. 

Murillo SA, Medina SP, Romero RM, Murillo RF. Bacillary Layer Detachment in an Atypical Case of Central Serous Chorioretinopathy Associated with High Hyperopia. 

Case Rep Ophtalmol 2022;13:504-510.

Furkan Kırık, MD

Bezmiâlem Vakıf University Faculty of Medicine

Dr. Furkan Kırık is graduated from Istanbul University Istanbul Faculty of Medicine in 2010. After completing his residency in Ophthalmology between 2011-2015 at the Bakırköy Dr. Sadi Konuk Research and Training Hospital, she started to work at the Bezmiâlem Vakıf University Faculty of Medicine in 2018. He is interested in the retina. ‘Regional analysis of segmented-macular structure in patients with myopic anisometropia’, ‘Refractive precision in uncomplicated eyes with pseudoexfoliation: three-piece versus one-piece intraocular lens implantation’ and ‘Effect of foveal herniation’ on surgical outcomes in patients with idiopathic epiretinal membrane” are his main articles.



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