Morning Glory Disc Anomaly, A Report of a Successfully Treated Case of Functional Amblyopia
Morning Glory Disc Anomaly (MGDA) is a congenital malformation of the optic nerve characterized by the presence of a funnel-shaped macropapilla with neuroglial remnants in its center surrounded by an elevated and pigmented chorioretinal ring. Its incidence is rare and no gender predisposition has...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2015-10-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/6695/15086_CE(RA1)_F(T)_PF1(EKAK)_PFA(AK)_PF2(PAG).pdf |
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| author | Humberto Cavazos-Adame Abraham Olvera-Barrios Alejandro Martinez-Lopez-Portillo Jesus Mohamed-Hamsho |
| author_facet | Humberto Cavazos-Adame Abraham Olvera-Barrios Alejandro Martinez-Lopez-Portillo Jesus Mohamed-Hamsho |
| author_sort | Humberto Cavazos-Adame |
| collection | DOAJ |
| description | Morning Glory Disc Anomaly (MGDA) is a congenital malformation of the optic nerve characterized by the presence of a funnel-shaped
macropapilla with neuroglial remnants in its center surrounded by an elevated and pigmented chorioretinal ring. Its incidence is rare and
no gender predisposition has been found. Associated conditions like strabismus lead to an early diagnosis.
We report the case of a 3.8-year-old boy with amblyopia of the right eye (count fingers 0.3 meters) due to MGDA. Correction of the
refractive error with glasses, along with occlusive therapy resulted in a visual acuity of 20/100 after a five-year follow up.
The presence of amblyopia in these cases demands an early management oriented to improve the visual acuity. Every patient with an
anatomical malformation diagnosed during the period of sensory maturation should be treated with occlusive therapy and followed on a
regular basis to diagnose associated conditions such as retinal detachment.
We recommend occlusive therapy in every patient diagnosed with MGDA or in any patient with unilateral or asymmetric structural
abnormalities that could lead to amblyopia. This 5-year case follow-up provides additional evidence of the importance of treatment
during the period of amblyopia reversibility. |
| first_indexed | 2024-12-11T18:23:11Z |
| format | Article |
| id | doaj.art-286adb8682d14f6584dc4000f54398b8 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-11T18:23:11Z |
| publishDate | 2015-10-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-286adb8682d14f6584dc4000f54398b82022-12-22T00:55:11ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-10-01910ND01ND0310.7860/JCDR/2015/15086.6695Morning Glory Disc Anomaly, A Report of a Successfully Treated Case of Functional AmblyopiaHumberto Cavazos-Adame0Abraham Olvera-Barrios1Alejandro Martinez-Lopez-Portillo2Jesus Mohamed-Hamsho3Professor and Head of the Pediatric Ophthalmology and Strabismus Clinic, Department of Ophthalmology, University Hospital “Dr. Jose Eleuterio Gonzalez”, Faculty of Medicine. Universidad Autonoma de Nuevo Leon, Mexico.Opthalmology Resident, Department of Ophthalmology, University Hospital “Dr. Jose Eleuterio Gonzalez”, Faculty of Medicine. Universidad Autonoma de Nuevo Leon.Professor, Glaucoma and Optic Nerve Diseases Clinic, Department of Ophthalmology, University Hospital “Dr. Jose Eleuterio Gonzalez”, Faculty of Medicine. Universidad Autonoma de Nuevo Leon, Mexico.Chief of the Department, Professor and Head of the Glaucoma and Optic Nerve Diseases Clinic, Department of Ophthalmology, University Hospital “Dr. Jose Eleuterio Gonzalez”, Faculty of Medicine. Universidad Autonoma de Nuevo Leon, Mexico.Morning Glory Disc Anomaly (MGDA) is a congenital malformation of the optic nerve characterized by the presence of a funnel-shaped macropapilla with neuroglial remnants in its center surrounded by an elevated and pigmented chorioretinal ring. Its incidence is rare and no gender predisposition has been found. Associated conditions like strabismus lead to an early diagnosis. We report the case of a 3.8-year-old boy with amblyopia of the right eye (count fingers 0.3 meters) due to MGDA. Correction of the refractive error with glasses, along with occlusive therapy resulted in a visual acuity of 20/100 after a five-year follow up. The presence of amblyopia in these cases demands an early management oriented to improve the visual acuity. Every patient with an anatomical malformation diagnosed during the period of sensory maturation should be treated with occlusive therapy and followed on a regular basis to diagnose associated conditions such as retinal detachment. We recommend occlusive therapy in every patient diagnosed with MGDA or in any patient with unilateral or asymmetric structural abnormalities that could lead to amblyopia. This 5-year case follow-up provides additional evidence of the importance of treatment during the period of amblyopia reversibility.https://jcdr.net/articles/PDF/6695/15086_CE(RA1)_F(T)_PF1(EKAK)_PFA(AK)_PF2(PAG).pdfmorning glory disc syndromeoptic nerve dysplasiaorganic amblyopiarelative amblyopiastrabismus |
| spellingShingle | Humberto Cavazos-Adame Abraham Olvera-Barrios Alejandro Martinez-Lopez-Portillo Jesus Mohamed-Hamsho Morning Glory Disc Anomaly, A Report of a Successfully Treated Case of Functional Amblyopia Journal of Clinical and Diagnostic Research morning glory disc syndrome optic nerve dysplasia organic amblyopia relative amblyopia strabismus |
| title | Morning Glory Disc Anomaly, A Report of a Successfully Treated Case of Functional Amblyopia |
| title_full | Morning Glory Disc Anomaly, A Report of a Successfully Treated Case of Functional Amblyopia |
| title_fullStr | Morning Glory Disc Anomaly, A Report of a Successfully Treated Case of Functional Amblyopia |
| title_full_unstemmed | Morning Glory Disc Anomaly, A Report of a Successfully Treated Case of Functional Amblyopia |
| title_short | Morning Glory Disc Anomaly, A Report of a Successfully Treated Case of Functional Amblyopia |
| title_sort | morning glory disc anomaly a report of a successfully treated case of functional amblyopia |
| topic | morning glory disc syndrome optic nerve dysplasia organic amblyopia relative amblyopia strabismus |
| url | https://jcdr.net/articles/PDF/6695/15086_CE(RA1)_F(T)_PF1(EKAK)_PFA(AK)_PF2(PAG).pdf |
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