ESCRS - P190 - CLINICAL CASE: ACCOMMODATIVE STRABISMUS AND MORNING GLORY SYNDROME

CLINICAL CASE: ACCOMMODATIVE STRABISMUS AND MORNING GLORY SYNDROME

Published 2024 - 28th ESCRS Winter Meeting

Reference: P190 | Type: Presented Poster & Poster | DOI: 10.82333/q87m-z074

Authors: Assia El Harrar* 1 , Lamia Ajdour 2 , imad hanane 1 , rokaya chahir 1 , ghizlane daghouj 1 , bouchra allali 1 , loubna el maaloum 1 , asmaa el kettani 1

1pediatric ophtalmology,casablanca university hospital,casablanca,Morocco, 2pediatric ophtalmology,casablanca university hospital,casablanca,Morocco;pediatric ophtalmology,casablanca university hospital,casablanca,Morocco

Purpose

Morning glory syndrome is a congenital anomaly of the optic nerve. This syndrome being rare is predominant in girls, generally unilateral. It can be discovered during nystagmus, amblyopia or strabismus. The latter is the reason for the patient's consultation in our pediatric ophthalmology structure on August 20.

Setting

clinical case

Methods

We report the observation of a 7-year-old child, admitted to a pediatric ophthalmology consultation, presenting a purely accommodating intermittent strabismus with incidental discovery of morning glory syndrome.

Results

Age: 9 years
Gender: female
Background: RAS
Reason for consultation: intermittent strabismus recently noticed by parents
Ophthalmological examination:
Hypertelorism, alternating esotropia preferential OG
Visual acuity: 9/0 ODG
Automatic refraction: moderate bilateral hyperopia, after cycloplegia +1.5 on the right and +1 on the left.
Anterior segment: normal
Fundus of the eye:
OD: normal
OG: large papilla excavated in its center, partially filled by a glial proliferation, in the shape of a bindweed flower, with a large blackish pigmented ring and an abnormal arrangement of the vessels, the peripheral retina and the fovea were normal.

                                

                            

                            

                                
Conclusion

                                

                                    
Morning glory anomaly is a congenital condition. It is most often isolated with a severe impact on visual function. The search for associated systemic abnormalities is necessary in young children. The visual prognosis of a child with Morning Glory syndrome can only be improved if amblyopia treatment is not neglected during the period of reversibility of amblyopia.