Morning Glory Disc Anomaly With Peripheral Retinal Nonperfusion in 4 Consecutive Cases | Congenital Defects | JAMA Ophthalmology | JAMA Network
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Small Case Series
Oct 2012

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

Author Affiliations

Author Affiliations: Ocular Oncology Service, Wills Eye Institute, Thomas Jefferson University, Philadelphia, Pennsylvania (Drs Rojanaporn, Kaliki, C. L. Shields, and J. A. Shields), and Retina Service, Department of Ophthalmology, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand (Dr Rojanaporn).

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

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