Pneumatic Displacement of Hemorrhagic Bacillary Layer Detachment

• Published in: Retinal cases & brief reports Vol. 18; no. 5; pp. 625 - 627
• Main Authors: Alderman, David R. B., Bracha, Peter
• Format: Journal Article
• Language: English
• Published: United States Retinal Cases & Brief Reports 01-09-2024
• Subjects: Aged; Angiogenesis Inhibitors - therapeutic use; Endotamponade - adverse effects; Female; Humans; Intravitreal Injections; Receptors, Vascular Endothelial Growth Factor - antagonists & inhibitors; Recombinant Fusion Proteins - therapeutic use; Retinal Detachment - diagnosis; Retinal Hemorrhage - diagnosis; Retinal Hemorrhage - etiology; Sulfur Hexafluoride - administration & dosage; Tomography, Optical Coherence; Visual Acuity; Wet Macular Degeneration - diagnosis; Wet Macular Degeneration - drug therapy
• ISSN: 1935-1089; 1937-1578; 1937-1578
• DOI: 10.1097/ICB.0000000000001463

The purpose of this study was to describe the management of a hemorrhagic bacillary layer detachment (BALAD) in a patient with neovascular age-related macular degeneration.
The clinical records and imaging were reviewed.
A 74-year-old woman presented with acute-onset hemorrhagic neovascular age-related macular degeneration with a large hemorrhagic BALAD. The intra-BALAD hemorrhage was amenable to displacement with SF 6 pneumatic displacement with subsequent VA recovery.
Sulfur hexafluoride (SF 6 ) pneumatic displacement in combination with aflibercept injection is a viable means by which to manage a hemorrhagic BALAD in the context of neovascular age-related macular degeneration. Displacement of large intra-BALAD hemorrhages can result in good visual recovery.