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Bacillary layer detachment: a novel optical coherence tomography finding as part of blunt eye trauma

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Blunt eye trauma causes a sudden decrement in anteroposterior diameter of the eye and a simultaneous expansion at the equatorial plane associated with a short live increment in intraocular pressure.… Click to show full abstract

Blunt eye trauma causes a sudden decrement in anteroposterior diameter of the eye and a simultaneous expansion at the equatorial plane associated with a short live increment in intraocular pressure. This impact may cause a variety of posterior segment complications of the eye such as commotio retina, vitreous haemorrhage, macular hole, choroidal rupture and optic nerve avulsion. Optical coherence tomography (OCT) makes possible non-invasive imaging of the microscopic anatomy of the retina, a nearly transparent structure. With improvement in OCT imaging technology, photoreceptor inner segments are divided into two parts, the myoid and the ellipsoid zones. The myoid has ribosomes, some endoplasmic reticula, golgi bodies, and rare mitochondria, while the ellipsoid is densely packed with mitochondria. Herein, we present multimodal imaging features of a patient having blunt eye trauma and report a novel OCT finding as part of blunt trauma that was named as bacillary layer detachment.

Keywords: optical coherence; blunt eye; eye trauma; blunt; eye

Journal Title: Clinical and Experimental Optometry
Year Published: 2019

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