Fibrin sealant in the treatment of retinal detachment in morning glory syndrome.

Abstract

To report the usage of fibrin sealant in the treatment of retinal detachment in morning glory syndrome. A case report of an 8-year-old boy with a recent, macula-off, inferior, bullous retinal detachment associated to his morning glory syndrome that was first treated by a pneumatic retinopexy. The following day, his examination revealed a total retinal detachment and subretinal gas. The patient underwent a 25-gauge pars plana vitrectomy, incomplete peeling of the glial tuft, 360° laser photocoagulation around the peripapillary staphyloma, 20% perfluoropropane endotamponade, and fibrin sealant injection to temporarily plug the slitlike retinal break visualized on the inferior border of the peripapillary staphyloma. Complete reattachment of the retina persisted after 6 months of follow-up with slight improvement in visual acuity noted by the patient. The authors believe that the usage of fibrin sealant seems to be a useful alternative in cases of retinal detachment related to morning glory syndrome with deep posterior peripapillary staphyloma, especially when persistent residual traction is suspected.