Bacillary Layer Detachment as a Presenting Feature of Ocular Sarcoidosis

Abstract

Background and Objective: Bacillary layer detachment (BALAD) is a recently described finding on optical coherence tomography (OCT) that has been reported in a variety of uveitic and retinal diseases. To add to the growing literature on conditions associated with this finding, we report on the first cases of BALADs in ocular sarcoidosis. Patients and Methods: Observational, retrospective chart review of patients with BALADs as a feature of sarcoid-associated uveitis. Results: Three patients presented with blurry vision and bacillary layer detachments on OCT who were either known to have or found to have sarcoid-associated uveitis. All three patients had resolution of the BALAD and improvement in visual acuity with a combination of high-dose oral steroids and/or systemic immunosuppression. Conclusions: Patients presenting with BALAD should be assessed for sarcoidosis, if appropriate, given the systemic implications of this diagnosis. [ Ophthalmic Surg Lasers Imaging Retina 2023;54:686–690.]