Abstract

Study Design- Case Report
Purpose- Morning glory disc anomaly(MGDA) is a rare congenital optic nerve head anomaly. Bilateral MGDA has been reported in 0-30% cases. 1/3rd cases can present with retinal detachment (RD).
Method- A 4-year-old female with bilateral MGDA presented with a bilateral RD with a peculiar waxing and waning course of subretinal fluid accumulation. While the left eye had a total white cataract with an excavated disc on ultrasound suggestive of morning glory configuration along with a closed funnel RD, the right eye had a shallow inferior RD involving fovea. MRI brain and orbit revealed bilateral tortuous optic nerves. The patient then taken up for right eye encirclage with pars plana vitrectomy..
Result- MGDA with RD require special considerations for surgery compared to other paediatric rhegmatogenous RD.
Conclusion- A careful history, examination and radiological investigations are pertinent in order to rule out life threatening systemic associations in MGDA.