Abstract

Method: 57 year old male came with complaints of of vision in both eye, left eye (LE) > right eye (RE) ) since 15 days. He was a known case of type II DM since 15 years. On examination, BCVA in RE – 6/9 and LE – 6/18. Anterior segment had early lenticular changes in BE and rest was within normal limits. On fundus examination RE had NPDR changes without macular edema and LE had NPDR changes with macular edeam (DME). On SS OCT, LE showed altered foveal contour, intraretinal cystoid spaces, a dome shaped cystic space enclosing bilobed splitting of myoid zone, consistent with bacillary layer detachment (BLD) phenotype. Injection Anti VEGF was administered to the LE of the patient and was advised follow up after a week.
Results: a rare presentation of BLD was studied in DME, which paved way for further exploration of its occurrence in case of DME.
Conclusion: It is necessary to study in detail and establish the clinical and prognostic value of BLD in case on DME.