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Year : 2023  |  Volume : 3  |  Issue : 1  |  Page : 245

Optic disc hyperoleon

Department of Vitreoretina and Ocular Oncology, Sankara Eye Hospital, Bengaluru, Karnataka, India

Date of Web Publication20-Jan-2023

Correspondence Address:
Shwetha Suryakanth
Department of Vitreoretina and Ocular Oncology, Sankara Eye Hospital, Kundalahalli Gate, Varthur Main Road, Bengaluru - 560 037, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_1828_22

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How to cite this article:
Suryakanth S, Shanmugam MP, Ramanjulu R, Mishra DK. Optic disc hyperoleon. Indian J Ophthalmol Case Rep 2023;3:245

How to cite this URL:
Suryakanth S, Shanmugam MP, Ramanjulu R, Mishra DK. Optic disc hyperoleon. Indian J Ophthalmol Case Rep [serial online] 2023 [cited 2023 Feb 1];3:245. Available from: https://www.ijoreports.in/text.asp?2023/3/1/245/368178

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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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Conflicts of interest

There are no conflicts of interest.

  References Top

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.  Back to cited text no. 1
Miller JB, Papakostas TD, Vavvas DG. Complications of emulsified silicone oil after retinal detachment repair. Semin Ophthalmol 2014;29:312-8.  Back to cited text no. 2
Colantuono D, Souied E. Hyperoleon. N Engl J Med 2020;382:2146.  Back to cited text no. 3
Au SC, Ko CK. Masked optic disc by hyperoleon in silicone oil—induced glaucoma eye. Ophthalmol Glaucoma 2020;3:420.  Back to cited text no. 4


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