A Rare Case Report of Morning Glory Syndrome in North Karnataka, Vijayapura

Abstract

Background: Morning Glory Syndrome is a rare congenital optic disc anomaly. The etiology of the disorder remains controversial and unclear. It is uncommon and can be either isolated or associated with malformations. Thus reporting this case will help to know to the occurrence and presentation of such anomaly in North Karnataka, Vijayapura Objective: To report a rare case of Morning Glory Syndrome. Method: A 30-year-old female patient presented with chief complaints of diminished vision in the right eye since childhood. There was no family history of ocular disease or congenital anomalies. On ocular examination, she had right eye convergent squint with no nystagmus with normal ocular motility. She had no facial abnormalities or any neurological abnormalities. The best-corrected visual acuity was count finger at 1 metre in the right eye and 6/6 in the left eye. Anterior segment examination was unremarkable in that eye. Fundoscopy of the right eye showed a large excavated funnel-shaped optic disc with a central turf of glial tissue and peripapillary chorioretinal pigment disturbance with vessels emerging radially from the disc margin. The examination of the left eye was normal. The intraocular pressures were 15mmhg and 11mmhg were of right and left eye respectively. B-scan of the right eye revealed an anomalous excavation with the disc at the base. Scan of the left eye was normal. Conclusion: A case report of a rare congenital anomaly of optic disc Morning Glory Syndrome