Skip to main content

Pathogenesis of retinal detachment associated with morning glory disc

Abstract

Pars plana vitrectomy was performed on a six-year-old boy with complete retinal detachment associated with a morning glory disc of his left eye. Perfluorodecalin was injected to unfold the retina. During surgery, perfluorodecalin leaked repeatedly under the retina. This case demonstrates that a retinal hole in tissues lying within the optic disc anomaly provides a communication for fluid and perfluorodecalin between the subretinal space and vitreous cavity resulting in a rhegmatogenous retinal detachment in the morning glory syndrome.

This is a preview of subscription content, access via your institution.

References

  1. Akiyama K, Azuma N, Hida T, Uemura Y. Retinal detachment in morning glory syndrome. Ophthalmic Surg 1984; 15: 841–3.

    Google Scholar 

  2. Badtke G. Miβbildungen des menschlichen Auges. 6. Genese der typischen Kolobome. In: Velhagen K (ed) Der Augenarzt, Band 4. Stuttgart, pp 78–145, 1961.

  3. Brodsky MC. Congenital optic disc anomalies. Surv Ophthalmol 1994; 39: 89–112.

    Google Scholar 

  4. Brown GC, Shields JA, Patty BE, Goldberg RE. Congenital pits of the optic nerve head. I. Experimental studies in collie dogs. Arch Ophthalmol 1979; 97: 1341–4.

    Google Scholar 

  5. Chang S, Haik BG, Ellsworth RM, Louis L St, Berrocal JA. Treatment of total retinal detachment in morning glory syndrome. Am J Ophthalmol 1984; 97: 596–600.

    Google Scholar 

  6. Cogan DG. Coloboma of the optic nerve with overlay of peripapillary retina. Br J Ophthalmol 1978; 62: 347–50.

    Google Scholar 

  7. Dempster AG, Lee WR, Forrester JV, McCreath GT. ‘The Morning Glory Syndrome’ — A mesodermal defect? Ophthalmologica 1983; 187: 222–30.

    Google Scholar 

  8. Duke-Elder S. Normal and abnormal development. Congenital deformities. Coloboma of the optic nerve entrance. Revised ed. CV Mosby, St. Louis, Vol. 3, pp. 472–81, 1963.

    Google Scholar 

  9. von Fricken MA, Dhungel R. Retinal detachment in the morning glory syndrome: pathogenesis and management. Retina 1984; 4: 97–9.

    Google Scholar 

  10. Hamada S, Ellsworth RM. Congenital retinal detachment and optic disc anomaly. Am J Ophthalmol 1971; 71: 460–4.

    Google Scholar 

  11. Handmann M. Erbliche, vermutlich angeborene, zentrale gliöse Entartung des Sehnerven mit besonderer Beteiligung der Zentralgefäβe. Mbl Augenheilk 1929; 83:145–52.

    Google Scholar 

  12. Harris MJ, DeBustros S, Michels RG, Joondeph HC. Treatment of combined traction-rhegmatogenous retinal detachment in the morning glory syndrome. Retina 1984; 4: 249–52.

    Google Scholar 

  13. Irvine AR, Crawford JB, Sullivan JH. The pathogenesis of retinal detachment with morningglory disc and optic pit. Trans Am Ophthalmol 1986; 84: 280–92.

    Google Scholar 

  14. Jonas JB, Koniszewski G, Naumann GOH. ‘Morning-Glory-Syndrom’ bzw. ‘Handmannsche Anomalie’ in kongenital-en Makropapillen. Extremvariante ‘konfluierender Grubenpa-pillen’? Klin Mbl Augenheilk 1989; 195: 371–4.

    Google Scholar 

  15. Kindler P. Morning glory syndrome: Unusual optic disc anomaly. Am J Ophthalmol 1970; 69: 376–84.

    Google Scholar 

  16. Lin CCL, Tso MOM, Vygantas CM. Coloboma of optic nerve associated with serous maculopathy: A clinicopathologic correlative study. Arch Ophthalmol 1984; 102: 1651–4.

    Google Scholar 

  17. Manschot WA. Morning glory syndrome: a histopathological study. Br J Ophthalmol 1990; 74: 56–8.

    Google Scholar 

  18. Savell J, Cook JR. Optic nerve colobomas of autosomal dominant heredity. Arch Ophthalmol 1976; 94: 395–400.

    Google Scholar 

  19. Szily A v. Die Ontogenese der idiotypischen (erblichen) Spaltbildungen des Auges, des Mikrophthalmus und der Orbitalzysten. Ein Beitrag zum Problem der Vererbung und Erwerbung des Koloboms. Zeitschr f d ges Anat 1924; 74: 1–230.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Bartz-Schmidt, K.U., Heimann, K. Pathogenesis of retinal detachment associated with morning glory disc. Int Ophthalmol 19, 35–38 (1995). https://doi.org/10.1007/BF00156417

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00156417

Key words

  • morning glory disc
  • retinal detachment
  • vitrectomy
  • perfluorodecalin