Clinical Image

The ancient gaze: Hyperoleon in the eye, a resemblance to traditional Chinese portraiture

Jaishree Lilani1
,  
Gautam Singh Parmar2
,  
Ashok Kumar3

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

Address correspondence to:

Jaishree Lilani

Sadguru Netra Chikitsalaya, Chitrakoot, Jankikund, District Satna, Madhya Pradesh 210204,

India

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Article ID: 100041Z17JL2024

doi: 10.5348/100041Z17JL2024CI

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.

Figure 1: (A) Schematic drawing of a “Sage of Ancient China.” (B) Anterior segment photograph of left eye showing emulsified silicone oil droplets (hyperoleon; upper semicircle) with inferior large peripheral iridectomy resembling appearance of “Sage of Ancient China.”

Discussion

Silicone oil is an important clinical tool for the vitreoretinal surgeon, particularly for complicated retinal detachments [1],[2]. The emulsification of silicone oil is a clinically significant complication that can occur [2].

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] Back to citation no. 1  

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] Back to citation no. 1  

SUPPORTING INFORMATION

Author Contributions

Jaishree Lilani - Acquisition of data, Drafting the article, Final approval of the version to be published

Gautam Singh Parmar - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published

Ashok Kumar - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published

Data Availability Statement

The corresponding author is the guarantor of submission.

Consent For Publication

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Competing Interests

Authors 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.