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Small Case Series | Oct 2012

Morning Glory Disc Anomaly With Peripheral Retinal Nonperfusion in 4 Consecutive Cases

Duangnate Rojanaporn, MD; Swathi Kaliki, MD; Carol L. Shields, MD; Jerry A. Shields, MD

Arch Ophthalmol. 2012;130(10):1327-1330. doi:10.1001/archophthalmol.2012.505.

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In 1970, Kindler¹ first described the morning glory disc anomaly in 10 patients with unusual congenital anomaly of the optic disc. Morning glory disc anomaly manifests with features of a congenitally enlarged optic disc with a central funnel-shaped excavation and overlying thin glial membrane. The anomalous disc is often surrounded by retinal pigment epithelial hyperplasia and occasionally surrounded by exudation and subretinal fluid. The descriptive name “morning glory” depicts the similarity of the recognizable retinal vascular pattern radially emerging from the optic disc, similar to the arrangement on the morning glory flower. These disc vessels are supernumerous and appear straightened and radially course to the retinal periphery.¹ The morning glory disc anomaly can be associated with neurologic abnormalities, so recognition of the ocular finding and appropriate neuroimaging is important.²

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Figure. A 13-month-old white boy showing an enlarged optic disc, radially emanating vessels, central glial membrane, surrounding shallow subretinal fluid with 3 radial retinal folds (A and B) and peripheral retinal nonperfusion (C). A 10-month-old Asian girl showing morning glory optic disc anomaly with subretinal exudates and subretinal fluid around the disc (D), radial orientation of the retinal vessels (E), and peripheral retinal nonperfusion (F). A 4-month-old white boy showing morning glory optic disc anomaly with central glial tuft, surrounding retinal pigment epithelial hyperplasia (G), radial orientation of the retinal vessels (H), and peripheral retinal nonperfusion (I).

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Rojanaporn D, Kaliki S, Shields CL, Shields JA. Morning Glory Disc Anomaly With Peripheral Retinal Nonperfusion in 4 Consecutive Cases. Arch Ophthalmol. 2012;130(10):1327-1330. doi:10.1001/archophthalmol.2012.505.

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