Case of peripheral fibrovascular proliferative retinopathy associated with morning glory disc anomaly

Area of Science:

• Ophthalmology
• Retinal Diseases
• Vascular Anomalies

Background:

• Morning Glory Disc Anomaly (MGDA) is a rare congenital condition affecting the optic nerve head.
• Retinal detachments (RDs) associated with MGDA typically originate near the optic disc.
• Peripheral fibrovascular proliferation and tractional RDs are considered uncommon complications of MGDA.

Observation:

• This report details an unusual case of MGDA with a tractional RD.
• The patient presented with massive exudation from a peripheral temporal fibrovascular proliferation.
• Stretched vasculatures due to proliferation and hyaloidal membrane contraction were observed.

Findings:

• A rare presentation of tractional retinal detachment occurred in an eye with Morning Glory Disc Anomaly.
• Massive exudation and vascular stretching were key features of this atypical RD.
• The complex RD was successfully managed surgically.

Implications:

• This case expands the understanding of potential complications associated with Morning Glory Disc Anomaly.
• It underscores the importance of considering tractional RD in atypical presentations of MGDA.
• Successful surgical outcomes demonstrate the efficacy of combined vitrectomy and buckling for complex RDs in MGDA.