J Korean Ophthalmol Soc.  2010 Nov;51(11):1532-1536. 10.3341/jkos.2010.51.11.1532.

A Case of Bilateral Morning Glory Syndrome

• Yoo ES
• Han JI

• KMID: 2213992
• DOI: http://doi.org/10.3341/jkos.2010.51.11.1532

Abstract

PURPOSE
To report a bilateral case of morning glory syndrome.
CASE SUMMARY
On May 30, 2002, a six-year-old patient visited our clinic with impaired visual acuity of her left eye and was diagnosed as having a cataract on her left eye superimposed on a bilateral morning glory anomaly. According to cycloplegic refraction, the patient's corrected visions was 0.8 in the right eye and 0.1 in the left. On June 20, 2002, the patient received ultrasonographic phacoemulsification, intraocular lens implantation, synechiolysis and partial vitectomy in her left eye. Approximately 5.2 years after the surgery, according to manifest refraction, the patient's corrected visions were 0.8 in the right eye and 0.1 in the left, no prominent postoperative changes were observed on slit lamp microscopy and fundus examinations. The thickness of the central macula of her right eye had decreased according to optical coherence tomography; the physiologic scotoma size of the patient's right eye had increased with narrowed peripheral visual field of her left eye.
CONCLUSIONS
Although monocular morning glory anomaly has previously been reported to occur, in the present study case, the anomaly occurred bilaterally. In morning glory patients, strabismus examination and additional evaluation of a patient's general state should be performed along with a regular fundus examination.

Keyword

Congenital optic disc anormaly; Morning Glory syndrome

MeSH Terms

Cataract
Eye
Humans
Lens Implantation, Intraocular
Microscopy
Patient Rights
Phacoemulsification
Scotoma
Strabismus
Vision, Ocular
Visual Acuity
Visual Fields

Figure

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  Figure 1. Fundus photographs of the patient with a funnel-shaped excavation.

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  Figure 2. Disc photographs of the patient shows the blood vessels emerging from the rim of the excavation in a radial pattern like the spokes of a wheel.

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  Figure 3. Optical coherence tomography shows decreased central macular thickness of right eye (central macula thickness, A = 74 μm).

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  Figure 4. Visual field test (Kinetic and 24–2) shows decreased peripheral visual field of the left eye and increased physiologic scotoma of the right eye.

Reference

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