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| OPHTHALMIC IMAGE |
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| Year : 2023 | Volume
: 3
| Issue : 1 | Page : 245 |
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Optic disc hyperoleon
Shwetha Suryakanth, Mahesh P Shanmugam, Rajesh Ramanjulu, Divyansh K C Mishra
Department of Vitreoretina and Ocular Oncology, Sankara Eye Hospital, Bengaluru, Karnataka, India
| Date of Web Publication | 20-Jan-2023 |
Correspondence Address:
Shwetha Suryakanth
Department of Vitreoretina and Ocular Oncology, Sankara Eye Hospital, Kundalahalli Gate, Varthur Main Road, Bengaluru - 560 037, Karnataka
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_1828_22
How to cite this article:
Suryakanth S, Shanmugam MP, Ramanjulu R, Mishra DK. Optic disc hyperoleon. Indian J Ophthalmol Case Rep 2023;3:245 |
An 82-year-old gentleman underwent pars plana vitrectomy with silicone oil tamponade for rhegmatogenous retinal detachment elsewhere five years ago. At presentation to us, his intraocular pressure (IOP) was 40 mmHg and best-corrected visual acuity (BCVA) was hand movements close to face. Slit-lamp examination showed hyperoleon in the anterior chamber (AC). The retina was attached with a hyperoleon-like appearance over the optic disc, obscuring the superior half of the disc [Figure 1]. The inferior half of the disc was pale with peripapillary atrophy. He underwent silicone oil removal for IOP reduction. Silicone oil emulsification causing formation of hyperoleon or inverse-hypopyon in AC is a common entity.[1–3] However, such an appearance over the optic disc is rarely described and is interesting.[4] | Figure 1: Optic disc showing emulsified silicone oil forming a hyperoleon-like picture, obscuring the superior half of the optic disc
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Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | Zhao H, Yu J, Zong Y, Jiang C, Zhu H, Xu G. Characteristics of silicone oil emulsification after vitrectomy for rhegmatogenous retinal detachment: An ultrasound biomicroscopy study. Front Med 2021;8:794786.  |
| 2. | Miller JB, Papakostas TD, Vavvas DG. Complications of emulsified silicone oil after retinal detachment repair. Semin Ophthalmol 2014;29:312-8. |
| 3. | Colantuono D, Souied E. Hyperoleon. N Engl J Med 2020;382:2146. |
| 4. | Au SC, Ko CK. Masked optic disc by hyperoleon in silicone oil—induced glaucoma eye. Ophthalmol Glaucoma 2020;3:420. |
[Figure 1]
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