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Macular serous detachment associated with “morning glory”

Color and green filter fundus (FF450 IR plus camera). Morning glory papillary anomaly with macular serous detachment and retinoschisis. • OCT (Cirrus-HD 5000, Zeiss): Macular serous detachment with areas of retinoschisis

Evolution after treatment: Retinography and OCT showing the disappearance of serous detachment and macular retinoschisis

Description

Morning glory syndrome is an abnormality of papillary development that is frequently associated with intracranial abnormalities. 38% of cases present macular serous detachment. Several therapeutic alternatives have been proposed.

Comments

We report an unusual case of morning glory syndrome with serous detachment successfully treated with gas and laser.

Indication

A 23-year-old woman with a “morning glory” papillary anomaly with visual acuity of 1 and an increase in the blind spot in the visual field. Nine years later, she presented a decrease in VA (0.4) due to macular serous detachment confirmed by optical coherence tomography (OCT). Treated with intraocular C2F6 gas injection, positioning and laser, we achieved the disappearance of the subretinal fluid and a final VA of 0.7.