Morning Glory Anomaly in A Fifteen-Year-Old Saudi Girl

Document Type : Case Report

Authors

1 Department of Ophthalmology, New Najran General Hospital, Najran Health Cluster, Kingdom of Saudi Arabia.

2 Department of Pediatrics, Najran Armed Forces Hospital, Kingdom of Saudi Arabia

Abstract

Background: The Morning Glory anomaly is an extremely unusual birth defect affecting the optic disc.  It may exist in isolation or in conjunction with other ocular or non-ocular malformations.  Its distinctive appearance is characterized by a large disc containing radial arteries and a remnant of white glial tissue, which is situated within a funnel-shaped excavation of the posterior fundus.  
Case Report: For the past five years, a 15-year-old Saudi girl has complained of gradual impaired vision in her right eye.  Upon examination, the right eye exhibited a best corrected visual acuity of hand movement and a normal anterior segment.  Furthermore, a substantial optic disc was excavated in the center, and the vessels exhibited an aberrant emergence, reminiscent of the Morning Glory anomaly.  The left eye exhibited no abnormalities.
Conclusion: This optic disc defect can only be treated by first ruling out any associated general and/or ocular abnormalities. Regular follow up is necessary due to the risk of serous retinal detachment. It is crucial to check for deep amblyopia early on and then treat the condition appropriately if it is detected.

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