Bacillary Layer Detachment in Hyper-acute Stage of Acute Posterior Multifocal Placoid Pigment Epitheliopathy: A Case Series

Bacillary Layer Detachment (BALAD) in Macular Choroidal Metastasis of a Low-grade Rectal Adenocarcinoma

“…In our patient, early OCT-EDI revealed a bacillary layer detachment, which resolved spontaneously over 9 days, without treatment. BALAD has been identified in inflammatory and, more rarely, infiltrative lesions, where the choroidal thickening decreases the perfusion of the outer retina [3,11]. Rhamtohul et al identified 22 etiologies, all associated with subretinal exudation, including VKH disease (47 %), acute posterior multifocal placoid pigment epitheliopathy (11 %), sympathetic ophthalmia (7.3 %), choroidal neovascularization (6.2 %), and others, including choroidal metastasis from lung and breast carcinoma (1.8 %) [3,12].…”

Acute posterior multifocal placoid pigment epitheliopathy associated with serous retinal detachment: A case report

“…Spontaneous regression of SRD without any corticosteroids is not in favor of VKH disease, which is very responsive to corticosteroids, and reinforces the diagnosis of APMPPE. According to Goldenberg and al, APMPPE is classified into four stages, including an early stage with serous retinal detachment and later stage with complete disappearance of SRD [ 9 ].…”

Acute posterior multifocal placoid pigment epitheliopathy (APMPPE)

“…Accumulation of associated subretinal fluid might occur in APMPPE, and the presence of exudative retinal detachment mimicking acute Vogt-Koyanagi-Harada has been reported [44,45]. Recently, Kohli et al described three cases of APMPPE characterized in the acute phase by a SD-OCT revealing a splitting of the ellipsoid zone suggestive of bacillary layer detachment [46]. All cases showed complete resolution within one week.…”

“…During the acute phase of the disease enhanced depth imaging optical coherence tomography (EDI-OCT) shows choroidal thickening, improving with the resolution of the placoid lesions (Fig. 2) [44][45][46].…”