Total retinal detachment and contractile movement of the disc in eyes with morning glory syndrome

Abstract

Purpose

This study aimed to report clinical characteristics, intraoperative findings, and surgical outcomes of 2 eyes of 2 patients with retinal detachment (RD) associated with morning glory syndrome (MGS) and contractile movement of the disc.

Observations

Case 1 was a 3-year-old Japanese boy who presented with congenital microphthalmos in the left eye. The presence of total RD with MGS and contractile movement of the disc was confirmed by ophthalmoscopic examination. During vitrectomy, migration of perfluorocarbon liquid into the subretinal space was observed, suggesting a communication between the vitreous cavity and the subretinal space. Here, the retina was reattached briefly after the surgery; however, it detached again 2 months after surgery. Case 2 was a 3-month-old Japanese girl who was referred to our hospital for evaluation of RD and MGS in her left eye. Partial RD, MGS, and contractile movement of the disc were confirmed by ophthalmoscopic examination. The RD remained unchanged up to 18 months from the first visit, but atresia of the pupil was found 21 months after the first visit. Severe proliferative vitreoretinopathy and contractile movement of the disc were found after lensectomy. It was impossible to completely remove the membrane despite meticulous effort of peeling it off. At the 15-month follow-up, the retinal configuration improved but remained detached.

Conclusion and importance

Total RD with contractile movement of the disc associated with MGS is a rare condition that seems difficult to treat.

Highlights

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  Morning glory syndrome (MGS) with the contractile movement of the disc is a rare congenital anomaly.

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  No reported of retinal detachment and contractile movement of the disc associated with MGS.

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  Vitrectomy failed to reattach the retina in 2 eyes.

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  Surgical indications shoule be carefully considered.