Spontaneous resolution of retinal detachment in morning glory disk anomaly

Choudhry, Netan; Ramasubramanian, Aparna; Shields, Carol L.; Brown, Gary C.; Shields, Jerry A.

doi:10.1016/j.jaapos.2009.06.004

Cited by 15 publications

(6 citation statements)

References 7 publications

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“…[1][2][3] Although it had been described previously, 4,5 the clinical features of morning glory disk anomaly were delineated in 1970 by Kindler,6 who so named the condition on account of its resemblance to the morning glory flower. Based on 10 patients, Kindler defined morning glory disk anomaly as an enlarged optic disk with a funnel-shaped excavated peripapillary region surrounded by a wide, elevated annulus of chorioretinal pigment, central white tissue, and retinal vessels appearing on the edge of the disk.…”

mentioning

confidence: 99%

Morning glory disk anomaly—more than meets the eye

Traboulsi

2009

Journal of American Association for Pediatric Ophthalmology and

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confidence: 99%

Morning glory disk anomaly—more than meets the eye

Traboulsi

2009

Journal of American Association for Pediatric Ophthalmology and

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“…Additionally, the spontaneous resolution of the retinal detachment has been observed, which was speculated by the pigmentary changes in RPE ( 17 ). Netan et al also reported a case of MGD with nonrhegmatogenic retinal detachment in which the subretinal fluid is absorbed spontaneously, leaving RPE mottling ( 18 ). Here in this case, through a careful reading of the fundus photography and fundus FA (FFA), the changes of RPE were also discovered, which highly suggested the previous retinal detachment and spontaneous resolution of the subretinal fluid.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Multimodal Imaging in a Rare Case of Morning Glory Disc Anomaly Complicated With Choroidal Ossification

Wang

et al. 2022

Front. Med.

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PurposeThe authors described a 7-year-old boy who was diagnosed with morning glory disc (MGD) anomaly in the right eye via fundus examination. However, during the head CT examination, a hyperdense choroidal lesion was discovered around the optic disc. Comprehensive investigations revealed that the lesion's characteristics were extremely consistent with choroidal osteoma (CO), so the patient was diagnosed with MGD with CO on his second visit. However, in the subsequent follow-up, the author discovered pigmentary alterations in the retinal pigment epithelium (RPE) in the patient's right eye. Finally, the diagnosis was corrected to MGD with choroidal ossification following a thorough etiological analysis. Meanwhile, the characteristics of choroidal ossification were described in detail through multimodal imaging in this article.MethodsRetrospective review of a case note.ConclusionsSimilar to CO, choroidal ossification is the consequence of structured osseous tissue formation regulated by osteoblasts and osteoclasts. It consists of bone trabecular and vascular components and is difficult to be distinguished from CO on imaging examinations. In contrast to the congenital prevalence of CO, there are often incentives for the occurrence of choroidal ossification. These inducements will eventually mediate the inflammation in the eye, resulting in the activation of many cytokines and the production of choroidal ossification. Around one-third of patients with MGD will experience retinal detachment, and in certain cases, the subretinal fluid will be absorbed spontaneously, resulting in alterations to the RPE. These processes can activate inflammatory factors in the eye, bringing about a cascade of abnormalities, including the development of CO. Therefore, the proper diagnosis of disease should not be made exclusively on the basis of the imaging findings. A thorough analysis of the epidemiology and etiology is crucial.

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“…The embryologic basis is unclear. It may be the result of a defect in the formation of the posterior sclera with secondary herniation of neural tissue and interference with resorption of primary hyaloidal elements [3,5].…”

Section: Discussionmentioning

confidence: 99%

Case Report: Fibroglial Retinal Tissue in Contractile Morning Glory Disc Anomaly

Ramirez-Estudillo

Torres-Navarro

Rojas-Juárez

et al. 2021

Case Rep Ophthalmol

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The purpose of the present case is to describe a patient with tractional retinal detachment (RD) associated with contractile morning glory: a 17-year-old female, with a history of failed surgery for RD when she was 2 years old in her right eye (OD), nystagmus, and a limited visual acuity in the left eye (OS). The slit lamp examination showed phthisis bulbi in OD and the anterior segment was unremarkable in OS. Dilated fundus examination revealed a tractional RD in the posterior pole and peripapillary and preretinal fibrosis without evidence of intravitreal dispersion of retinal pigment epithelial cells. After surgery treatment, the RD resolved and the posterior segment showed a staphylomatous excavation around the optic disc anomaly with irregular contractions that folded the macular area. This were unrelated to light, breathing, or eye movements. Although morning glory disc anomaly is associated with RD, the early diagnosis can reverse structural changes. In this case, the rare association with contractile movements was found posterior to the pars plana vitrectomy after all the fibroglial epiretinal tissue was removed.

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Spontaneous resolution of retinal detachment in morning glory disk anomaly

Cited by 15 publications

References 7 publications

Morning glory disk anomaly—more than meets the eye

Morning glory disk anomaly—more than meets the eye

Case Report: Multimodal Imaging in a Rare Case of Morning Glory Disc Anomaly Complicated With Choroidal Ossification

Case Report: Fibroglial Retinal Tissue in Contractile Morning Glory Disc Anomaly

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