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The morning glory disc anomaly: Contractile movement, classification, and embryogenesis

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Abstract

A case of the morning glory disc anomaly is reported in which alternating contraction and dilation movements were observed and documented with fundus photographs. The movements are attributed to an anomalous communication between the subretinal and subarachnoid spaces that permits flux of fluid to occur between the two compartments, with consequent variation in the degree of retinal elevation within the excavated portion of the lesion. The clinical features of the morning glory disc anomaly, peripapillary staphyloma and optic disc coloboma are presented, and the relationship among these lesions is discussed. The author concludes that the morning glory disc anomaly is a clinical entity distinct from peripapillary staphyloma and optic disc coloboma. It is thought to be due to dysgenesis of the distal optic stalk leading to anomalous persistence of the extension of the cavity of the optic cup into the stalk.

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References

  1. Akiyama K, Noriyuki A, Tetsuo H, Yasuo U (1984) Retinal detachment in morning glory syndrome. Ophthalmic Surg 15: 841–843

    Google Scholar 

  2. Apple DJ, Rabb MF, Walsh PM (1982) Congenital anomalies of the optic disc. Surv Ophthalmol 27: 3–41

    Google Scholar 

  3. Beyer WB, Quencer RM, Osher RH (1982) Morning glory syndrome, a functional analysis including fluorescein angiography, ultrasonography, and computerized tomography. Ophthalmology 89: 1362–1367

    Google Scholar 

  4. Brown GC, Gonder J, Levin A (1984) Persistence of the primary vitreous in association with the morning glory disc anomaly. J Pediatr Ophthalmol Strabismus 21: 5–7

    Google Scholar 

  5. Brown GC, Tasman WS (1983) Congenital Anomalies of the Optic Disc. New York, Grune & Stratton, pp 127–170

    Google Scholar 

  6. Caprioli J, Lesser RL (1983) Basal encephalocele and morning glory syndrome. Br J Ophthalmol 67: 349–351

    Google Scholar 

  7. Cennamo G, Sammartino A, Fioretti F (1983) Morning glory syndrome with contractile peripapillary staphyloma. Br J Ophthalmol 67: 346–348

    Google Scholar 

  8. Chang S, Haik BG, Ellsworth RM, St. Louis L (1984) Treatment of total retinal detachment in morning glory syndrome. Am J Ophthalmol 97: 596–600

    Google Scholar 

  9. Cogan DG (1978) Coloboma of optic nerve with overlay of peripapillary retina. Br J Ophthalmol 62: 347–350

    Google Scholar 

  10. Dempster AG, Lee WR, Forester JV, McCreath GT (1983) The “morning glory syndrome” — a mesodermal defect? Ophthalmologica 187: 222–230

    Google Scholar 

  11. Duke-Elder S, Cook C (1963) System of Ophthalmology, Vol III, Part 1. St. Louis, CV Mosby Co, pp 29–46, 109–118, 162–164

    Google Scholar 

  12. Duke-Elder S (1964) System of Ophthalmology, Vol III, Part 2. St. Louis, CV Mosby Co, pp 541–542

    Google Scholar 

  13. Font RL, Zimmerman LE (1971) Intrascleral smooth muscle in coloboma of the optic disk, electron microscopic verification. Am J Ophthalmol 72: 452–457

    Google Scholar 

  14. Gass, JDM (1970) Surgical excision of persistent hyperplastic primary vitreous. Arch Ophthalmol 83: 163–168

    Google Scholar 

  15. Goldhammer Y, Smith JL (1975) Optic nerve anomalies in basal encephalocele. Arch Ophthalmol 93: 115–118

    Google Scholar 

  16. Hamada S, Ellsworth RM (1971) Congenital retinal detachment and the optic disk anomaly. Am J Ophthalmol 71: 460–464

    Google Scholar 

  17. Handmann M (1929) Erbliche, vermutlich angeborene zentrale gliose Entartung des ehnerven mit besonderer Beteiligung der Zentralgefasse Klin Monatsbl Augenheilkd 83: 145–152

    Google Scholar 

  18. Jensen PE, Kalina RE (1976) Congenital anomalies of the optic disk. Am J Ophthalmol 82: 27–31

    Google Scholar 

  19. Kawano K, Fujita S (1981) Duane's retraction syndrome associated with morning glory syndrome. J Pediatr Ophthalmol Strabismus 18: 51–54

    Google Scholar 

  20. Kindler P (1970) Morning glory syndrome: Unusual congenital optic disk anomaly. Am J Ophthalmol 69: 376–384

    Google Scholar 

  21. Koenig SB, Naidich TP, Lissner G (1982) The morning glory syndrome associated with sphenoidal encephalocele. Ophthalmology 89: 1368–1373

    Google Scholar 

  22. Konstas P, Katikos G, Vatakas LC (1976) Contractile peripapillary staphyloma. Ophthalmologica 172: 379–381

    Google Scholar 

  23. Kral K, Svarc D (1971) Contractile peripapillary staphyloma. Am J Ophthalmol 71: 1090–1092

    Google Scholar 

  24. Krause U (1972) Three cases of the morning glory syndrome. Acta Ophthalmologica 50: 188–198

    Google Scholar 

  25. Mann IC (1957) Developmental Abnormalities of the Eye, 2nd ed. Philadelphia, J.B. Lippincott, pp 74–93, 113–116

    Google Scholar 

  26. Mann IC (1964) Development of the Human Eye. 3rd ed. New York, Grune & Stratton

    Google Scholar 

  27. Pagon RA (1981) Ocular Coloboma. Surv Ophthalmol 25: 223–236

    Google Scholar 

  28. Pedler C (1961) Unusual coloboma of the optic nerve entrance. Br J Ophthalmol 45: 803–807

    Google Scholar 

  29. Rieger G (1977) Zum Krankheitsbild der Handmannschen Sehnervenanomalie. Klin Monatsbl Augenheilkd 170: 697–706

    Google Scholar 

  30. Steahly LP (1977) A colobomatous optic disc anomaly and associated retinal detachment. J Pediatr Ophthalmol 14: 103–105

    Google Scholar 

  31. Steinkuller PG (1980) The morning glory disk anomaly: A case report and literature review. J Pediatr Ophthalmol Strabismus 17: 81–87

    Google Scholar 

  32. Sugar HS, Beckman H (1969) Peripapillary staphyloma with respiratory pulsation. Am J Ophthalmol 68: 895–897

    Google Scholar 

  33. Willis R, Zimmerman LE et al. (1972) Heterotopic adipose tissue and smooth muscle in the optic disc, association with isolated colobomas. Arch Ophthalmol 88: 139–146

    Google Scholar 

  34. Wise JB, Maclean AL, Gass JDM (1966) Contractile peripapillary staphyloma. Arch Ophthalmol 75: 626–630

    Google Scholar 

  35. Young G (1925) Diseases of the optic nerve. 1. Peri-papillary ectasia. Trans Ophthal Soc U.K. 45: 267–273

    Google Scholar 

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Pollock, S. The morning glory disc anomaly: Contractile movement, classification, and embryogenesis. Doc Ophthalmol 65, 439–460 (1987). https://doi.org/10.1007/BF00143047

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