Pneumatic Displacement of Hemorrhagic Bacillary Layer Detachment.

To describe the management of a hemorrhagic bacillary layer detachment in a patient with neovascular age-related macular degeneration (nAMD). The clinical records and imaging were reviewed. A 74-year-old female presented with acute onset hemorrhagic nAMD with a large hemorrhagic bacillary layer detachment (BALAD). The intra-BALAD hemorrhage was amenable to displacement with SF6 pneumatic displacement with subsequent visual acuity recovery. Sulfur hexafluoride (SF6) pneumatic displacement in combination with aflibercept injection is a viable means by which to manage a hemorrhagic bacillary layer detachment in the context of nAMD. Displacement of large intra-BALAD hemorrhages can result in good visual recovery.