Correspondence Address:
Amber A Bhayana
Dr R P Centre for Ophthalmic Sciences, AIIMS, New Delhi - 110 029
India

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Red reflex test using distant indirect ophthalmoscopy revealed a hypermetropic glow- a bright reflex localized to the inferior part of the eyeball and dark crescent superiorly [Figure 1]a[1],[2] in the right eye of a 30-year-old male (phakic, operated encerclage-vitreo-retinal surgery, silicone oil in situ); other eye was normal [unaided 20/20, [Figure 1]b]. Right eye was emmetropic prior to retinal detachment. Present refractive error was +3.5 diopters sphere in right eye. Phakic eyes develop 5–7 diopters of hyperopia when the vitreous cavity is filled with silicone oil.[3] Refractive error in our case was less hyperopic because of equitorial constriction causing lenticular thickening and axial elongation; both due to encerclage and both contributing to myopia, thus relatively reducing hyperopic magnitude. We detected this refractive error using Bruckner's test[1],[2] and would like to document with reasoning, red reflex finding of cerclaged oil-filled eye. It can be used as a quick assessment tool for refractive status in oil-filled eyes in peripheral setting.{Figure 1}

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