Advertisement

Communication between the subretinal space and the vitreous cavity in the morning glory syndrome

  • Gustavo E. Coll
  • Stanley Chang
  • Thomas E. Flynn
  • Gary C. Brown
  • G. C. Brown
Short Communication

Abstract

• Background: The aim was to describe a pathogenic mechanism for a rhegmatogenous retinal detachment in a 69-year-old man with the morning glory syndrome. • Methods: During vitreous surgery for a retinal detachment, a membrane was removed that covered the optic disc anomaly and produced traction on the peripapillary retina. A retinal hole was found in tissue lying within the optic cup, and the hole was sealed using a autologous plasma —thrombin mixture. Silicone oil was used for retinal tamponade. • Results: A retinal hole in tissue lying within the optic cup provided a fluid pathway between the vitreous cavity and the subretinal space. Following vitrectomy surgery, bubbles of silicone oil passed through the retinal hole into the subretinal space of the macula. • Conclusion: This case demonstrates that a retinal hole in tissue lying within the optic disc anomaly of the morning glory syndrome provides a communication for fluid between the subretinal space and the vitreous cavity, resulting in a rhegmatogenous retinal detachment. Vitreous replacement with silicone oil resulted in the migration of silicone bubbles into the subretinal space.

Keywords

Retina Thrombin Optic Disc Retinal Detachment Pathogenic Mechanism 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Kindler P (1970) Morning glory syndrome: unusual congenital optic disc anomaly. Am J Ophthalmol 69:376–384Google Scholar
  2. 2.
    Steinkuller PG (1980) The morning glory disk anomaly: case report and literature review. J Pediatr Ophthalmol Strabismus 17:81–87Google Scholar
  3. 3.
    Beyer WB, Quener RM, Osher RH (1982) Morning glory syndrome. A functional analysis including fluorescein angiography, ultrasonography, and computerized tomography. Ophthalmology 89:1362–1367Google Scholar
  4. 4.
    Yamana T, Nishimura M, Ueda, Chijiiwa T (1983) Macular involvement in morning glory syndrome. Jpn J Ophthalmology 27:201–209Google Scholar
  5. 5.
    Haik BG, Greenstein SH, Smith ME, Abramson, DH, Ellsworth RM (1984) Retinal detachment in the morning glory disc anomaly. Ophthalmology 91:1638–1647Google Scholar
  6. 6.
    Brown G, Tasman W (1983) Congenital anomalies of the optic disc. Grune and Stratton, New York, pp 159–161Google Scholar
  7. 7.
    Cogan DG (1978) Coloboma of optic nerve with overlay of peripapillary retina. Br J Ophthalmol 62:347–350Google Scholar
  8. 8.
    Fricken MA von, Dhungel H (1984) Retinal detachment in the morning glory syndrome: pathogenesis and management. Retina 4:97–99Google Scholar
  9. 9.
    Harris M, Bustros S de, Michels RG, Joondeph HC (1984) Treatment of combined traction-rhegmatogenous retinal detachment in the morning glory syndrome. Retina 4:249–252Google Scholar
  10. 10.
    Akiyama K, Azuma N, Hida T, Uemura Y (1984) Retinal detachment in the morning glory syndrome. Ophthalmic Surg 15:841–843Google Scholar
  11. 11.
    Chang S, Haik BJ, Ellsworth RM, St Louis L, Berrocal JA (1984) Treatment of total retinal detachment in the morning glory syndrome. Am J Ophthalmol 97:596–600Google Scholar
  12. 12.
    Irvine AR, Crawford JB, Sullivan JH (1986) The pathogenesis of retinal detachment with morning glory disc and optic pit. Trans Am Ophthalmol Soc 84:280–292Google Scholar

Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • Gustavo E. Coll
    • 1
  • Stanley Chang
    • 1
  • Thomas E. Flynn
    • 1
  • Gary C. Brown
    • 1
  • G. C. Brown
    • 2
  1. 1.Department of OphthalmologySt. Luke's Roosevelt Hospital CenterNew YorkUSA
  2. 2.The Wills Eye HospitalThomas Jefferson Medical College, Thomas Jefferson UniversityPhiladelphiaUSA

Personalised recommendations