A Rare CaseOf UnilateralMorning Glory DiscWithPHPV CataractAndProminent Ciliary Processes
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 6
Abstract
Morning glory disc anomaly is a congenital excavation of the posterior pole that involves optic disc .It is usually unilateral and common in females (2:1) . Some authors postulates, as failure of closure of the fetal fissure and it is a variant of optic nerve coloboma. Alternatively, a primary mesenchymal abnormality has been demonstrated on the basis of the glial tuft, the scleral and vascular abnormalities .We report a case of an 11 year old girl,with diminution of vision in right eye alongwith deviation of eye inwards since childhood. Anterior segment showed prominent ciliary processes,cataractwith morning glory disc and PHPV stalk attaching from the disc. There was no systemic abnormality.Patient underwent right eye cataract surgery.Morning glory syndrome is associated with many cerebro vascular abnormalities.Systemic workup should be done. Along with persistent hyperplastic primary vitreous ,patient is at risk of developing strabismus ,amblyopia. If diagnosed early ,patients can be benefitted by surgery and restoration of vision.
Authors and Affiliations
Priti Shende, V Rajesh Prabu, JK Reddy
Keywords
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- EP ID EP375659
- DOI 10.9790/0853-1706023941.
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