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Clinical Image
The ancient gaze: Hyperoleon in the eye, a resemblance to traditional Chinese portraiture
1 Fellow in Cornea and Refractive Surgery, Sadguru Netra Chikitsalaya, Chitrakoot Jankikund, District Satna, Madhya Pradesh 210204, India
2 Consultant and Head of Department, Cornea and Refractive Surgery, Sadguru Netra Chikitsalaya, Chitrakoot, Jankikund, District Satna, Madhya Pradesh 210204, India
3 Consultant, Cornea and Refractive Surgery, Sadguru Netra Chikitsalaya, Chitrakoot, Jankikund, District Satna, Madhya Pradesh 210204, India
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Jaishree Lilani
Sadguru Netra Chikitsalaya, Chitrakoot, Jankikund, District Satna, Madhya Pradesh 210204,
India
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Article ID: 100041Z17JL2024
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How to cite this article
Lilani J, Parmar GS, Kumar A. The ancient gaze: Hyperoleon in the eye, a resemblance to traditional Chinese portraiture. J Case Rep Images Opthalmol 2024;7(2):1–2.ABSTRACT
No Abstract
Keywords: Hyperoleon, Inverse hypopyon, Silicon oil and Chinese portraiture
Case Report
A 70-year-old male presented to us with diminution of vision in left eye. The patient had undergone trabeculectomy in left eye in 1995 followed by pars plana vitrectomy with silicon oil tamponade for rhegmatogenous retinal detachment in 2001. At presentation intraocular pressure was 15 mm Hg and slit lamp examination showed clear cornea associated with aphakia and a hyperoleon in the anterior chamber with oval pupil and large inferior peripheral iridectomy (PI) resembling as “Sage of Ancient China” (Figure 1A and Figure 1B). Here hyperoleon resembles the straw hat of a Chinese man, pupil resembles the face whereas inferior PI resembles the vintage Chinese attire—“qipao.” On fundus examination, pale disc with multiple chorioretinal atrophic patches was seen. Since the eye had no perception of light, the patient was kept under observation.
Discussion
Conclusion
Silicone oil emulsification causing formation of hyperoleon or inverse hypopyon in anterior chamber is a common entity. However, most well-documented complications of silicone oil emulsification are glaucoma and keratopathy.
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 (Lausanne) 2022;8:794786. [CrossRef]
[Pubmed]
2.
Miller JB, Papakostas TD, Vavvas DG. Complications of emulsified silicone oil after retinal detachment repair. Semin Ophthalmol 2014;29(5–6):312–8. [CrossRef]
[Pubmed]
SUPPORTING INFORMATION
Author Contributions
Jaishree Lilani - Acquisition of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Gautam Singh Parmar - Conception of the work, Design of the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Ashok Kumar - Conception of the work, Design of the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2024 Jaishree Lilani et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
