MORNING GLORY SYNDROME: A CASE REPORT

Published 2022 - 26th ESCRS Winter Meeting

Reference: P254 | Type: Abstracts | DOI: 10.82333/cq6s-cw32

Authors: Tabchi Manal* ¹ , hmeimett zeinabou ¹ , mekyna synthia ¹ , cherkaoui lalla ouafa ¹ , khamaily mehdi ²

¹Ophtalmologie A,Hôpital des spécialités,Rabat,Morocco, ²service d'ophtalmologie,hôpital d'instruction militaire,Rabat,Morocco

Purpose

morning glory syndrome has a severe functional prognosis because of the amblyopia it causes.

The ophthalmologic involvement may be isolated or associated with a malformative syndrome.

Setting

The "morning glory" syndrome is a rare pathology, characterized by a congenital malformation of the optic disc, often accompanied by other malformations, notably cerebral.

Methods

We report the case of a 3-year-old female patient, with no notable pathological history, who consulted for a right unilateral divergent strabismus. An ophthalmologic examination with fundus, a refraction under cycloplegic eye drops and an orthoptic assessment were performed. A brain MRI and a pediatric opinion were requested.

Results

The visual acuity was difficult to evaluate, given the age. The fundus examination showed an enlarged papilla, surrounded by a large pigmented ring, with a large excavation. The center of the papilla is occupied by a glial proliferation. The retinal vessels are sparse and radial like a wheel. The macula and the rest of the retina are normal. Automatic refraction revealed myopia with astigmatism. Orthoptic workup was performed with amblyopia treatment. The brain MRI was without abnormalities. And the pediatric examination with cardiac and abdominal ultrasound revealed no associated malformation.

Conclusion

morning glory syndrome is a congenital anomaly of the optic disc, often associated with profound amblyopia. The main complication is retinal detachment, hence the interest of a rigorous surveillance.