Internal limiting membrane packing for treatment of morning glory syndrome with rhegmatogenous retinal detachment

Abstract

Purpose: This study aimed to report the ocular features, surgical methods, and surgical outcomes of a patient with morning glory syndrome(MGS) complicated with rhegmatogenous retinal detachment(RRD) Observations: The patient was a 38-year-old Chinese woman with congenital cataract in her left eye and an artificial eye in her right eye. Ocular examination confirmed MGS complicated with RD in the left eye and revealed a retinal hole in the temporal margin of the optic disc. The retina successfully reattached after pars plana vitrectomy(PPV), silicone oil tamponade and laser photocoagulation, but the hole did not close and occurred obvious contractile movement. The retina did not detach again during the follow-up period. One and a half years later, silicone oil removal combined with internal limiting membrane and hyaloid or glial remnant plugging, autologous blood covering and C3F8 filling were performed, and the retinal hole was finally closed. Conclusions and importance: This case is the first to report contractile movement of the retinal hole in a patient with MGS complicated with RD, and the hole was closed by internal limiting membrane tamponade combined with autologous blood coverage.

Keywords

• Morning glory syndrome
• Retinal detachment
• Contractile movement
• Congenital optic disc abnormality