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Impressum
Treatment of retinal detachment in morning glory syndrome
Tsiroukis E., Meier P., Wiedemann P.
Universität Leipzig, Klinik und Poliklinik für Augenheilkunde, Liebigstr. 10- 14, 04103 Leipzig
Background: The morning glory syndrome is a rare condition characterised
by a congenital optic disc coloboma. A morning glory optic disc is often
associated with retinal detachment. The defect in the optic disc provides
a communication for fluid between the subretinal and the vitreous cavity.
Casuistic: A 31-year-old woman who presented to our clinic complained
about a decreased visual acuity for two months on the right amblyopic
eye. The clinical examination showed a morning glory optic disc and a
retinal detachment of the posterior pole. The visual acuity was 1/20.
No retinal breaks were identified. The left eye was normal. Other ocular
or systemic anomalies could not be found. We performed a pars plana vitrectomy
with gas injection. Postoperative the retina was attached and the visual
acuity reached 0,1. The course was documented by ophthalmic photography
and optical coherence tomography.
Conclusion: The morning-glory-associated retinal detachment can
be treated with pars plana vitrectomy and gas tamponade.