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Morning Glory Syndrome

Introduction

The aetiology and pathogenesis is poorly understood
- Attributed to Jain and Johnson's pathogenesis theory
- Believes to be due to the incomplete closure of the choroidal fissure
- The poor development of the sclera and lamina cribrosa causes herniation of ocular tissue and appearance
- The retinal detachment is attributed to the CSF from the subarachnoid space causing rhegmatogenous exudation
- Possibly due to mutations in PAX6 (master control gene of the eye)

Dead Giveaways

Giveaways are mainly in the funuds autofluorescence images as well as the OCT

FAF:

  • The spoke like radiating vessels evidently seen
    The spoke like radiating vessels evidently seen

OCT:

  • Retinal detachment seen under the star
    Retinal detachment seen under the star

  • This shows the deep pit from the funnel shaved optic disc excavation
    This shows the deep pit from the funnel shaved optic disc excavation

diagnostic features

Visual prognosis is typically poor, and can be co-existing with high RE, amblyopia and strabismus.

  • 30% of the time associated with retinal detachment

If the macular is involved, it is called Macular Capture

  • For specific terminology, it is known as the Morning Glory Disc if there is no systemic conditions

  • It is known as Morning Glory Syndrome with systemic signs

    • These can include midfacial malformations or transphenoidal encephalocele

2025, made by Eric Qin. UNSW. SOVS

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