Clinical characteristics of morning glory disc anomaly in South India
Jayant Kumar1, Olukorede O Adenuga2, Kritika Singh1
1Department of Vitreo- Retina Services, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Madurai, Tamil Nadu, India.
Purpose:
Reports of morning glory disc anomaly (MGDA) in India have mostly been case reports. The aim of this study was to describe the demographic and clinical profile of patients with MGDA in South India.
Materials And Methods:
A retrospective review of the medical records of patients with MGDA seen at a tertiary eye hospital in South India over a period of 8 years was carried out. The patients' demographic and clinical data were extracted from the case files and were entered into Epi Info reporting software version 7.2.3.0 and then analyzed.
Results:
There were 51 eyes of 44 patients with MGDA comprised 25 (56.8%) males and 19 (43.2%) females. Seven (15.9%) patients had bilateral MGDA. The mean age for females was 5.8 years (standard deviation [SD]: 5.8) and for males, 11.2 years (SD: 12.1). This difference was not statistically significant with a P = 0.07. The most common ocular associations were strabismus, refractive error, and retinal detachment, whereas the most common systemic associations were cleft lip and cleft palate. Fifty-one percent of eyes were blind at presentation.
Conclusion:
Patients with MGDA in India tend to present late with poor visual prognosis. Early diagnosis and prompt treatment of blinding complications are crucial in reducing the risk of irreversible visual loss. Associated systemic abnormalities highlight the importance of a multidisciplinary approach in the management of patients with this condition.
Insights
Morning Glory Disc Anomaly (MGDA) patients in India often present late, leading to poor visual outcomes. Early detection and treatment of complications are vital for preserving vision and managing associated systemic conditions.
Area of Science:
- Ophthalmology
- Medical Genetics
- Pediatric Ophthalmology
Background:
- Morning Glory Disc Anomaly (MGDA) is a rare congenital condition affecting the optic nerve.
- Previous reports from India primarily consisted of isolated case studies.
Purpose of the Study:
- To characterize the demographic and clinical features of MGDA patients in South India.
- To establish a baseline for understanding MGDA prevalence and presentation in the region.
Main Methods:
- Retrospective analysis of medical records from a tertiary eye hospital.
- Data collected over an 8-year period.
- Demographic and clinical data analyzed using Epi Info software.
Main Results:
- Study included 44 patients (51 eyes); 56.8% males, 43.2% females.
- Common ocular associations: strabismus, refractive error, retinal detachment.
- Frequent systemic associations: cleft lip and palate; 51% of eyes presented with blindness.
Conclusions:
- MGDA patients in India experience delayed presentation and poor visual prognosis.
- Timely diagnosis and intervention for blinding complications are essential.
- Associated systemic abnormalities necessitate a multidisciplinary management approach.
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