Arcuate Vitelliform detachment with morning glory disc maculopathy: OCT findings of evolution and resolution after early surgery

Morning glory disc (MGD) is known to develop secondary maculopathy and vision loss. We followed a 7-year-old girl with MGD in right eye from 2010 to 2021. Her best-corrected Snellen visual acuity (BCVA) was 20/20 in both eyes till 2017. She presented with reduced vision in right eye with BCVA of 20/...

Full description

Saved in:
Bibliographic Details
Published in:BMJ case reports 2021-07, Vol.14 (7), p.e244329
Main Authors: Singh, Deependra Vikram, Sharma, Yog, Reddy, Raja Rami, Sharma, Ajay
Format: Article
Language:English
Subjects:
Case Report
Case reports
Child
Consent
Female
Humans
Hypotheses
Macular Degeneration
Optic Disk
Optics
Pathogenesis
Photoreceptors
Retina
Retinal detachment
Retinal Detachment - etiology
Retinal Detachment - surgery
Retinoschisis - surgery
Retrospective Studies
Surgery
Tomography, Optical Coherence
Vitrectomy
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Morning glory disc (MGD) is known to develop secondary maculopathy and vision loss. We followed a 7-year-old girl with MGD in right eye from 2010 to 2021. Her best-corrected Snellen visual acuity (BCVA) was 20/20 in both eyes till 2017. She presented with reduced vision in right eye with BCVA of 20/80 in 2018. Optical Coherence Tomography (OCT) revealed maculopathy related to MGD in right eye and arcuate Vitelliform neurosensory detachment (V-NSD) temporal to fovea. She underwent 25G vitrectomy with internal limiting membrane peeling. Resolution of retinoschisis and V-NSD was analysed by OCT and fundus autofluorescence (FAF) postoperatively. Arcuate V-NSD was hyperfluorescent on FAF and concentric to optic disc. It resolved slowly with BCVA improving to 20/20 at 18 and 30 months postoperatively. We report excellent outcome following early vitrectomy for MGD-related maculopathy and recommend serial follow-up and considering early vitrectomy whenever traction and BCVA worsens. We also describe arcuate V-NSD with MGD.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2021-244329