Retinal detachment in four eyes of three cases with morning glory syndrome

Purpose: To report morning glory syndrome with retinal detachment in 4 eyes of 3 patients. Cases: The present series comprised 2 females and one male. They were aged 14, 43 and 20 years. Only the third case was bilaterally affected. Findings and Clinical Course: Corrected visual acuity was 1.0 right and 0.01 left in the first case. Morning glory syndrome and retinal detachment in the left eye were localized in the peripapillary area sparing the macula. Retinal detachment became spontaneously reattached with visual acuity of hand motion 5 years later. Visual acuity in the second case was light perception right and 1.0 in the left. The right eye showed morning glory syndrome and proliferative vitreoretinopathy with total retinal detachment. A retinal hole was found during surgery in the temporal periphery. Silicone oil tamponade with photocoagulation was followed by resolution of retinal detachment but visual acuity became no light perception 5 months later. The third case showed visual acuity of 0.03 right and 0 left. Retinal detachment involved the temporal fundus and the macula in the right eye. A tear was present in the temporal periphery. The retina became reattached after buckling with final visual acuity of 0.03. Conclusion: The present cases show that retinal detachment in morning glory syndrome may show retinal breaks and is to be surgically treated. Even when no retinal break is present, retinal detachment show spontaneous resolution.