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April 1995

Retinal Arteriovenous Communications in the Morning Glory Disc Anomaly

Author Affiliations

Little Rock, Ark

Arch Ophthalmol. 1995;113(4):410-411. doi:10.1001/archopht.1995.01100040024015

The morning glory disc anomaly comprises congenital excavation of the peripapillary fundus, enlargement of the optic disc, anomalous epipapillary glial tissue, and a complex pattern of retinovascular anomalies.1,2 We examined a patient who had three retinal arteriovenous communications in an eye with a morning glory disc anomaly.

Report of a Case.  A 6-month-old boy was diagnosed as having intermittent exotropia and was treated with bilateral lateral rectus recessions. At 2 years of age, he was noted to have a foveal scar in the right eye and a morning glory disc anomaly in the left eye. Reexamination at 6 years of age disclosed two inferior retinal holes near the ora serrata and a third at the 6-o'clock equator in the left eye that were treated successfully with retinal cryotherapy. At 13 years of age, his corrected visual acuity was 20/200 OD and 20/25 OS.Both pupils reacted briskly to light