Communication between the subretinal space and the vitreous cavity in the morning glory syndrome |
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Authors: | Gustavo E Coll Stanley Chang Thomas E Flynn Gary C Brown G C Brown |
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Institution: | (1) Department of Ophthalmology, St. Luke's Roosevelt Hospital Center, 425 West 59th Street, Suite 313, 10019 New York, NY, USA;(2) The Wills Eye Hospital, Thomas Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA, USA |
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Abstract: | Background: The aim was to describe a pathogenic mechanism for a rhegmatogenous retinal detachment in a 69-year-old man with the morning glory syndrome. Methods: During vitreous surgery for a retinal detachment, a membrane was removed that covered the optic disc anomaly and produced traction on the peripapillary retina. A retinal hole was found in tissue lying within the optic cup, and the hole was sealed using a autologous plasma —thrombin mixture. Silicone oil was used for retinal tamponade. Results: A retinal hole in tissue lying within the optic cup provided a fluid pathway between the vitreous cavity and the subretinal space. Following vitrectomy surgery, bubbles of silicone oil passed through the retinal hole into the subretinal space of the macula. Conclusion: This case demonstrates that a retinal hole in tissue lying within the optic disc anomaly of the morning glory syndrome provides a communication for fluid between the subretinal space and the vitreous cavity, resulting in a rhegmatogenous retinal detachment. Vitreous replacement with silicone oil resulted in the migration of silicone bubbles into the subretinal space. |
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