TITLE:
Morning Glory Syndrome or Bindweed Flower Papilla Syndrome
AUTHORS:
Prudence Ada Assoumou, Davy Alex Mouinga Abayi, Yoan Mboussou, Annick Kougou Ntoutoume, Hélène Nyinko Aboughe, Olive Matsanga, Tatiana Harly Mba Aki, Emmanuel Mve Mengome
KEYWORDS:
Morning Glory, Anomaly, Congenital, Disc, OCT
JOURNAL NAME:
Open Journal of Ophthalmology,
Vol.14 No.2,
May
23,
2024
ABSTRACT: Introduction: Morning Glory Syndrome (MGS) is a rare anomaly of the optic nerve characterized by a flower-shaped excavation in the optic disc. This anatomical peculiarity is of growing interest due to its impact on vision and the therapeutic challenges it presents. Despite research advances, gaps persist, requiring thorough exploration to better understand this rare condition. We present the case of a young girl. Observation: A 7-year-old girl presented with persistent deterioration of vision in the right eye since birth. Visual acuity was counting fingers at 2 meters in the right eye and 10/10 in the left eye. Biomicroscopy was normal in both eyes, and fundus examination revealed a funnel-shaped excavation at the optic disc of the right eye, associated with central glial proliferation, thin blood vessels in a radial distribution, and atrophy of the neuroretinal rim. Additional tests confirmed the diagnosis of isolated unilateral Morning Glory Syndrome in the right eye. Combined treatment included appropriate optical correction and functional rehabilitation. Regular ophthalmological follow-up over a one-year period was established to monitor visual acuity evolution, optic disc stability, and detect any potential complications. The reserved prognosis was marked by the absence of ocular complications and maintenance of initial visual acuity in the right eye. Conclusion: The positive response to management underscores the importance of an integrated approach, early diagnosis, therapeutic adherence, and personalized strategies.